Large Left Ventricular Thrombus in a Patient with Systemic and Venous Thromboembolism Secondary to Protein C and S DeficiencyReportar como inadecuado




Large Left Ventricular Thrombus in a Patient with Systemic and Venous Thromboembolism Secondary to Protein C and S Deficiency - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

Case Reports in Cardiology - Volume 2017 2017, Article ID 7576801, 3 pages - https:-doi.org-10.1155-2017-7576801

Case Report

Department of Medicine, St. Joseph’s Hospital and Medical Center, Phoenix, AZ, USA

Department of Medicine, Banner University Medical Center, Tucson, AZ, USA

Section of Cardiology, John D. Dingell VA Medical Center, Detroit, MI, USA

Department of Medicine, Wayne State University, Detroit, MI, USA

Correspondence should be addressed to Aiden Abidov

Received 21 September 2016; Accepted 15 December 2016; Published 4 January 2017

Academic Editor: Tayfun Sahin

Copyright © 2017 Mohit Pahuja et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

58-year-old Hispanic female presented with an altered mental status. A CT scan of the head demonstrated multiple scattered infarcts and a large right temporal lobe infarct. We also diagnosed the patient with right popliteal and femoral vein thrombosis, bilateral pulmonary embolism, and a transient right radial artery occlusion. Her 12-lead EKG showed lateral ST elevation. Emergent coronary angiogram revealed normal coronaries. Echocardiogram demonstrated a large mobile mass attached to the anterolateral free wall with overall normal contractility of the left ventricle. The patient underwent surgical embolectomy to prevent further systemic embolization. Coagulability workup returned positive for protein C and S deficiency. The patient did well after surgery. Following her surgery, we initiated chronic oral anticoagulation. The presentation with intracardiac thrombus in a normal heart should raise a concern of a probable thrombophilia.





Autor: Mohit Pahuja, Bujji Ainapurapu, and Aiden Abidov

Fuente: https://www.hindawi.com/



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