Early Left Ventricular Thrombus After Bypass Surgery
Author Information
Author(s): Muacevic Alexander, Adler John R, Machii Yojiro, Hayashi Yuki, Harada Atsushi, Ezawa Yuzo, Tanaka Masashi
Primary Institution: Nihon University School of Medicine, Tokyo, JPN
Hypothesis
Can early left ventricular thrombus develop after off-pump coronary artery bypass grafting in patients with reduced left ventricular ejection fraction?
Conclusion
A left ventricular thrombus was discovered in a patient shortly after bypass surgery, but it resolved with anticoagulant treatment over five months.
Supporting Evidence
- Left ventricular thrombus is a serious complication of myocardial infarction.
- The patient had a reduced left ventricular ejection fraction before surgery.
- Anticoagulant therapy led to the resolution of the thrombus five months post-surgery.
- Careful follow-up is required during the early postoperative period for patients at risk.
Takeaway
Sometimes, after heart surgery, a blood clot can form in the heart. In this case, a man had a clot, but doctors gave him medicine to help it go away.
Methodology
Case report detailing the patient's medical history, surgery, and follow-up echocardiography.
Potential Biases
Potential bias in reporting a single case without comparative data.
Limitations
Only one case is reported, limiting generalizability.
Participant Demographics
70-year-old man with a history of diabetes and chronic kidney disease.
Digital Object Identifier (DOI)
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