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Left ventricular thrombus in a patient with congenitally corrected transposition of the great arteries

Dorota Sobczyk1, Marcin Nosal

  • 1Cardiovascular Surgery and Transplantology Department, John Paul II Hospital, Krakow, Poland. dorotasobczyk@yahoo.com

Kardiologia Polska
|February 19, 2011
PubMed

Insights

This case report details the first instance of pulmonary ventricle thrombus in a patient with congenitally corrected transposition of the great arteries (ccTGA). Multiple risk factors likely contributed to this rare cardiac complication.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Medical Case Reports

Background:

  • Congenitally corrected transposition of the great arteries (ccTGA) is a rare congenital heart defect.
  • Patients with ccTGA often face complex cardiac management and are at risk for various complications.
  • Severe heart failure necessitates urgent medical and surgical intervention.

Observation:

  • A 27-year-old woman with a known history of ccTGA presented with severe heart failure.
  • A suspected left ventricular thrombus was identified as a critical concern.
  • Emergency surgery was performed for thrombus removal and tricuspid annuloplasty.

Findings:

  • The surgical intervention successfully removed thrombi from the left ventricle.
  • This is the first reported case of thrombus formation specifically within the pulmonary ventricle in a patient with ccTGA.
  • The presence of multiple risk factors is hypothesized to be the primary cause of the thrombus.

Implications:

  • This case highlights a previously undocumented complication of ccTGA, emphasizing the need for vigilant monitoring.
  • Understanding the risk factors associated with thrombus formation in ccTGA is crucial for preventative strategies.
  • Further research into the pathophysiology and management of ventricular thrombi in ccTGA patients is warranted.

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