1. A case of biventricular thrombi in a patient with dilated cardiomyopathy: Utility of multimodality imaging for diagnosis and management of treatment strategy
- Author
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Hiroki Sugiyama, Hiroyuki Yamamoto, Jun Kondo, Noriyuki Tokunaga, Takayuki Iwano, Masataka Shigetoshi, Masahiro Okada, Hiromi Matsubara, Mikizo Nakai, and Kei Yunoki
- Subjects
medicine.medical_specialty ,Infarction ,030204 cardiovascular system & hematology ,Article ,03 medical and health sciences ,0302 clinical medicine ,Cardiac magnetic resonance imaging ,Internal medicine ,Biopsy ,Medicine ,cardiovascular diseases ,030212 general & internal medicine ,medicine.diagnostic_test ,business.industry ,Dilated cardiomyopathy ,medicine.disease ,Stenosis ,Heart failure ,Angiography ,cardiovascular system ,Cardiology ,Radiology ,Cardiology and Cardiovascular Medicine ,business ,Complication ,circulatory and respiratory physiology - Abstract
A 54-year-old man was transferred to our hospital due to congestive heart failure and left ventricular thrombi. Transthoracic echocardiography (TTE) showed mobile "ball-like" not only left ventricular but also right ventricular thrombi associated with severe impaired left and right ventricular function. Contrast-enhanced computed tomography (CT) and cardiac magnetic resonance imaging (MRI) also detected biventricular apical thrombi complicated with right renal infarction. Coronary angiography showed non-significant stenosis. Due to the mobility of thrombi and complication of systemic infarction, the surgical transatrial video-assisted removal of biventricular thrombi was performed and postoperative course has been uneventful over a period of 6 months. Endomyocardial biopsy performed during an operation showed no specific findings such as endomyocarditis, indicating the diagnosis of dilated cardiomyopathy (DCM). This is a rare case of DCM complicated with biventricular apical thrombi detected clearly by multimodality imaging such as TTE, contrast-enhanced CT and cardiac MRI, and surgical removal was performed successfully. .
- Published
- 2017