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Left Ventricular Thrombosis in Ulcerative Colitis

Tarek Saleh1

  • 1Saint Joseph Mercy Oakland, Department of Internal Medicine, Pontiac, Mich., USA.

Case Reports in Gastroenterology
|September 1, 2010
PubMed

Insights

Left ventricular thrombi are rare without heart abnormalities. This case highlights that thrombi can form in the left ventricle during active ulcerative colitis, even in young patients.

Area of Science:

  • Cardiology
  • Gastroenterology
  • Hematology

Background:

  • Left ventricular thrombi (LVT) typically arise from myocardial infarction, ventricular aneurysm, or dilated cardiomyopathy.
  • LVT in the absence of ventricular wall motion abnormalities is uncommon.
  • Ulcerative colitis (UC) is associated with a prothrombotic state, affecting various age groups.

Observation:

  • A case report details a patient diagnosed with ulcerative colitis.
  • Two-dimensional echocardiography identified an intraventricular mass in the left ventricle.
  • The patient did not present with typical cardiac abnormalities associated with LVT.

Findings:

  • The intraventricular mass was confirmed as a left ventricular thrombus.
  • The thrombus occurred in the context of active ulcerative colitis.
  • This finding is unusual as LVT is rare without underlying cardiac dysfunction.

Implications:

  • This case expands the known clinical manifestations of ulcerative colitis.
  • It suggests that LVT should be considered in young patients with active UC, even without apparent cardiac disease.
  • Highlights the importance of echocardiography in evaluating unexplained cardiac masses in patients with inflammatory bowel disease.

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