[Recurrent systemic embolisation in a patient with a large thrombus in left ventricular aneurysm--case report]

Kardiol Pol. 2004 May;60(5):494-7; discussion 497.
[Article in Polish]

Abstract

A case of a 47-year-old female with the aneurysm of the left ventricle is presented. Several days prior to the hospitalization signs of femoral embolism emerged, which was treated with embolectomy. Echocardiographic examination revealed large thrombus in the cavity of the aneurysm with pedunculated surrounding echo. On the second day after the admission the symptoms of renal artery embolism occurred. Due to recurrent symptoms of peripheral emboli and the lack of a consent for the interventional treatment, fibrinolysis (Actilyse) was applied resulting in the reduction of the thrombus mass in the left ventricle. Subsequent Doppler ultrasound of the renal arteries showed normal flow pattern. During hospitalization general condition has gradually improved and the patient was discharged.

Publication types

  • Case Reports

MeSH terms

  • Echocardiography
  • Embolectomy
  • Female
  • Femoral Artery / diagnostic imaging
  • Femoral Artery / pathology
  • Fibrinolytic Agents / administration & dosage
  • Heart Aneurysm / complications*
  • Humans
  • Middle Aged
  • Renal Artery Obstruction / diagnostic imaging
  • Renal Artery Obstruction / drug therapy
  • Renal Artery Obstruction / etiology*
  • Thromboembolism / diagnostic imaging
  • Thromboembolism / etiology
  • Thromboembolism / surgery*
  • Thrombolytic Therapy / methods
  • Tissue Plasminogen Activator / administration & dosage
  • Ultrasonography, Doppler

Substances

  • Fibrinolytic Agents
  • Tissue Plasminogen Activator