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Published on: June 11, 2019
Acute Lymphocytic Myocarditis With Mobile Left Ventricular Thrombus
Ryosuke Honda1, Toru Miyoshi1, Shuntaro Ikeda1
1Department of Cardiology, Pulmonology, Hypertension, and Nephrology, Ehime University Graduate School of Medicine, Toon City, JPN.
Insights
Left ventricular thrombus (LVT) can occur early in acute lymphocytic myocarditis, even within 48 hours. Echocardiography aids in detecting LVT in myocarditis patients, enabling timely intervention and reducing thromboembolic risks.
Area of Science:
- Cardiology
- Internal Medicine
- Pathology
Background:
- Left ventricular thrombus (LVT) formation in cardiac disease is linked to adverse thromboembolic events.
- Understanding the timing and risk factors for LVT is crucial for patient management.
- Acute myocarditis, particularly in younger individuals, presents unique challenges in cardiac thrombus formation.
Abstract:
A left ventricular thrombus (LVT) in cardiac disease is associated with various adverse events. To understand the risk of thromboembolism, it is necessary to recognize when LVT is most likely to occur. We present a case of acute lymphocytic myocarditis in a young patient, where the LVT manifestation occurred within 48 hours after the beginning of the disease and was treated by thrombectomy. We have not found any reports of LVT formation earlier than in this case. Patients with acute myocarditis are younger, at a median age of 34 years, and the social impact of embolic complications is considerable. Echocardiography is effective in detecting LVT noninvasively in low- and high-risk patients. Patients with myocarditis can benefit from careful observation by echocardiography.
