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Recurrent left ventricular thrombus in Crohn's disease: a rare presentation
Anand Iyer1, Lucy Marney, Shoane Ipp
1Department of Cardiothoracic Surgery, Townsville Hospital, Queensland, Australia.
Asian Cardiovascular & Thoracic Annals
|March 4, 2014
Summary
A Crohn's disease patient experienced recurrent left ventricular thrombus, leading to limb emboli. Redo surgery confirmed organized thrombus, highlighting complex cardiac management challenges.
Area of Science:
- Cardiology
- Gastroenterology
- Surgical Pathology
Background:
- Crohn's disease management can involve complex surgical procedures.
- Left ventricular thrombus formation is a serious complication with embolic potential.
- Recurrent cardiac masses require careful diagnostic and therapeutic strategies.
Observation:
- A 40-year-old male with Crohn's disease presented with left limb emboli.
- Echocardiography revealed a recurrent large left ventricular mass during workup for stricturoplasty.
- The patient had a history of left ventricular thrombus and multiple embolic events two years prior.
Findings:
- Redo surgery was performed for the recurrent left ventricular mass.
- Histological examination confirmed the mass to be organized thrombus.
- This case highlights the recurrence of left ventricular thrombus in a patient with Crohn's disease.
Implications:
- Management of recurrent left ventricular thrombus in patients with inflammatory bowel disease is challenging.
- This case underscores the importance of vigilant cardiac monitoring in patients with Crohn's disease and a history of thromboembolism.
- Optimal surgical and medical strategies for managing complex cardiac thrombi require further investigation.
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