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Surgical management of left ventricular thrombus following severe dehydration

Yuki Tanaka1, Masaki Nie2, Nobuyuki Yamamoto2

  • 1Department of Cardiovascular Surgery, Ebina General Hospital, Kawaraguchi 1320, Ebina, Kanagawa, 243-0433, Japan. tfjgp484@yahoo.co.jp.

Heart and Vessels
|August 13, 2015
PubMed

Insights

Severe dehydration after a long cycling race caused a rare left ventricular thrombus. Emergency surgery successfully removed the clot, highlighting an unusual cause for this cardiac condition.

Area of Science:

  • Cardiology
  • Sports Medicine
  • Vascular Surgery

Background:

  • Left ventricular thrombus is typically associated with acute myocardial infarction.
  • Systemic thromboembolism can lead to arterial obstruction in multiple vascular beds.

Observation:

  • A cyclist developed a ball-like left ventricular thrombus after a 150-mile race.
  • The patient presented with lower-limb arterial obstruction due to systemic thromboembolism.
  • No cerebral artery embolism was detected, and left ventricular function was preserved.

Findings:

  • Dehydration was identified as a rare causative factor for left ventricular thrombus.
  • Emergency left ventricular thrombectomy was successfully performed.
  • The absence of coronary artery occlusion indicated a non-ischemic etiology.

Implications:

  • This case underscores dehydration as a potential, albeit rare, cause of left ventricular thrombus.
  • Highlights the importance of considering non-ischemic causes in cardiac thrombus formation.
  • Demonstrates the successful surgical management of left ventricular thrombus in a unique clinical scenario.

Keywords:
Left ventricleMyocardial infarctionThrombectomyThrombosis

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