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[Left ventricular thrombosis complicating systemic lupus erythematosus]
A Atallah1, R Hamousin Métrégiste, J Samuel
1Service de cardiologie, Centre hospitalier général intercommunal de Basse-Terre, Guadeloupe.
Archives Des Maladies Du Coeur Et Des Vaisseaux
|July 1, 1995
Summary
A rare case of isolated left ventricular thrombus in a 14-year-old girl with antiphospholipid syndrome was successfully treated with surgical ablation. Follow-up showed no recurrence, highlighting effective management of this unusual cardiac condition.
Area of Science:
- Cardiology
- Rheumatology
- Pediatrics
Background:
- Systemic lupus erythematosus (SLE) and antiphospholipid antibodies (aPL) can increase thrombotic risk.
- Cardiac involvement in SLE, particularly left ventricular thrombosis without myocardial disease, is exceptionally rare.
Purpose of the Study:
- To report a unique case of isolated left ventricular thrombus in a pediatric patient with antiphospholipid antibodies.
- To describe the successful surgical management and long-term follow-up of this rare cardiac lesion.
Main Methods:
- Surgical ablation of the isolated left ventricular thrombus.
- Echocardiographic monitoring for recurrence post-ablation.
Main Results:
- The patient, a 14-year-old girl with SLE and aPL, presented with an isolated left ventricular thrombus.
- Surgical ablation was performed, and no recurrence was observed during four years of follow-up.
Conclusions:
- Isolated ventricular thrombosis in pediatric patients with antiphospholipid antibodies is a rare but manageable condition.
- Surgical intervention followed by vigilant echocardiographic surveillance can prevent recurrence.