[Ball thrombus induced by hibernating myocardium in the left ventricle; report of a case]

Satoshi Kuroyanagi1, Katsushi Ueyama, Yuko Tsuda

  • 1Department of Cardiovascular Surgery, Kanazawa Cardiovascular Hospital, Kanazawa, Japan.

Insights

A rare left ventricle (LV) ball thrombus without myocardial infarction was found in an 80-year-old man. Prompt coronary artery bypass grafting (CABG) and thrombus excision led to improved LV function.

Area of Science:

  • Cardiology
  • Cardiovascular Surgery

Background:

  • Left ventricle (LV) ball thrombus is a rare condition.
  • Often associated with myocardial infarction, but can occur without it.

Observation:

  • An 80-year-old male presented with an incidentally discovered LV ball thrombus.
  • Coronary angiogram showed severe triple vessel disease and LV dysfunction.
  • Akinetic septal and apical wall motion was noted without signs of myocardial infarction.

Findings:

  • Diagnosis of acute LV ball thrombus with hibernating myocardium due to left anterior descending coronary artery ischemia.
  • Successful emergency coronary artery bypass grafting (CABG) and thrombus excision.
  • Significant improvement in LV function two weeks post-surgery.

Implications:

  • Hibernating myocardium may be a cause of LV ball thrombus in the absence of myocardial infarction.
  • Early surgical intervention can lead to favorable outcomes.
  • Highlights the importance of considering non-ischemic causes for LV thrombus.

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