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Multiple left ventricular thrombi in a patient with dilated cardiomyopathy and cerebral infarction: a case report

Takanao Mine1, Ikuo Sato, Hiroji Miyake

  • 1Department of Internal Medicine, Cardiovascular Division, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya 663-8501, Japan. mine@hyo-med.ac.jp.

Journal of Medical Case Reports
|September 15, 2014
PubMed

Insights

Patients with heart failure and reduced left ventricular function may benefit from anticoagulation therapy. This case study highlights the potential advantages of anticoagulation in managing left ventricular thrombi and preventing cerebral infarction.

Area of Science:

  • Cardiology
  • Neurology

Background:

  • Uncertainty exists regarding anticoagulation therapy for patients with sinus rhythm and reduced left ventricular function during or after heart failure treatment.
  • Dilated cardiomyopathy can lead to heart failure and increase the risk of thromboembolic events.

Observation:

  • A 67-year-old man with heart failure due to dilated cardiomyopathy developed cerebral infarction post-discharge.
  • Multiple left ventricular thrombi persisted despite initial treatment.

Findings:

  • Edaravone and heparin administration led to complete resolution of paralysis within 2 days.
  • A persistent left visual field defect was noted after treatment.

Implications:

  • Anticoagulation therapy may be beneficial for patients with sinus rhythm and reduced left ventricular function during heart failure management.
  • This case underscores the importance of considering anticoagulation in heart failure patients at risk for thromboembolism.
Abstract

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