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[Thrombosis of the right ventricle in 2 infants with myocardiopathy]
Insights
Left ventricular thrombosis in infants with cardiomyopathy is treatable with anticoagulant therapy, leading to thrombus resolution. Early intervention is crucial for managing this condition in pediatric patients.
Area of Science:
- Pediatric Cardiology
- Cardiovascular Medicine
- Hematology
Background:
- Left ventricular thrombosis (LVT) is a rare but serious complication in infants with cardiomyopathy.
- Cardiomyopathy can lead to impaired cardiac function and increased risk of thrombus formation.
Abstract:
We report two cases of left ventricular thrombosis in infants with myocardiopathy. Patients were aged ten and twelve months respectively. Two-dimensional echocardiography, performed because of the development of heart failure, evidenced an echogenic image within the left ventricle and significant dilatation of the left ventricular chamber. One patient developed a peripheral arterial thrombosis that resolved under anticoagulant therapy. The intracardiac thrombus disappeared under anticoagulant therapy after one month in one patient and six months in the other. Pathophysiology of the left ventricular thrombosis is discussed; the dilatation of the left ventricle apparently played a significant role. We emphasize the value of early initiation of preventive anticoagulant therapy in patients with myocardiopathy.