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Left Ventricular Outflow Tract Thrombus in a Child with Dilated Cardiomyopathy: An Atypical Location

Mohammed Baba Abdulkadir1,2, Olayinka Rasheed Ibrahim2, Folake Moriliat Afolayan2

  • 1Department of Paediatrics and Child Health, University of Ilorin, Ilorin, Kwara State, Nigeria.

Journal of Cardiovascular Echography
|August 1, 2017
PubMed

Insights

Dilated cardiomyopathy in a child can cause blood clots. Warfarin treatment successfully resolved an intracardiac thrombus, preventing further serious complications.

Area of Science:

  • Cardiology
  • Pediatric Cardiology
  • Neurology

Background:

  • Dilated cardiomyopathy (DCM) is a condition that can lead to intracardiac thrombus formation.
  • Intracardiac thrombi pose a risk of embolization, potentially causing severe complications such as stroke.

Observation:

  • A 19-month-old female child diagnosed with DCM presented with a right hemispheric cerebrovascular accident.
  • Echocardiography identified poor left ventricular systolic function and a thrombus on the interventricular septum within the left ventricular outflow tract.

Findings:

  • The intracardiac thrombus was successfully resolved following the administration of warfarin.
  • Warfarin therapy demonstrated efficacy in treating thrombus associated with pediatric DCM.

Implications:

  • This case highlights the importance of considering thromboembolic events in pediatric DCM.
  • Early diagnosis and anticoagulation with warfarin may be crucial for managing intracardiac thrombi and preventing cerebrovascular accidents in children with DCM.

Keywords:
Cerebrovascular accidentdilated cardiomyopathyleft ventriclethrombus

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