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Left ventricular thrombosis during infancy: report of two cases
1Department of Pediatrics, University Hospital, Lund, Sweden.
Pediatric Cardiology
|July 1, 1995
Summary
Left ventricular thrombosis is rare in infants but can occur due to abnormal heart blood flow. Echocardiography aids diagnosis, with outcomes varying based on underlying conditions and treatment.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Diagnostic Imaging
Background:
- Left ventricular thrombosis (LVT) is uncommon in neonates and infants.
- Abnormal hemodynamics are a potential contributing factor to LVT.
- Echocardiography is a key diagnostic tool for identifying cardiac thrombi.
Observation:
- A 6-week-old girl with supraventricular tachycardia presented with LVT, heart failure, and peripheral embolization.
- A newborn boy with severe aortic stenosis had a large thrombus along the interventricular septum.
Findings:
- In the first patient, LVT diminished and the girl recovered after restoring normal heart rhythm.
- The second patient, despite valvotomy, died, with post-mortem examination confirming the massive LVT.
Implications:
- This case series highlights the importance of echocardiography in diagnosing LVT in pediatric patients.
- Management strategies and outcomes for LVT in neonates and infants may depend on the underlying cardiac condition.
- Further research is needed to understand the pathophysiology and optimize treatment for pediatric LVT.