Successful treatment of massive biventricular thrombi associated with myocarditis: a case report
Chunshui Liang1, Hong Liu1, Zhezhe Cao1
1Department of Cardiovascular Surgery, Xinqiao Hospital, The Army Medical University, Chongqing, China.
Background:
Massive biventricular thrombi associated with myocarditis are rare and pose significant management challenges.
Case Presentation:
A 24-year-old male from a plateau region presented with dyspnea, chest pain, and cerebral infarction/hemorrhage. Imaging revealed giant biventricular thrombi (left: 81 × 62 × 59 mm; right: 59 × 16 mm) and LVEF of 25%.
Management:
Multidisciplinary therapy included anticoagulation and GDMT.
Outcomes:
Complete thrombus resolution occurred by 10 weeks, with improved cardiac function (LVEF 48%) and no recurrent embolism.
Conclusion:
Drug therapy may be effective for massive biventricular thrombi in myocarditis.
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