Recurrent left ventricular thrombus in Crohn's disease: a rare presentation

Asian Cardiovasc Thorac Ann. 2014 Jan;22(1):86-8. doi: 10.1177/0218492312467638. Epub 2013 Jul 11.

Abstract

A 40-year-old man with Crohn's disease was found to have recurrence of a large left ventricular mass on echocardiography during workup for stricturoplasty. He presented with left limb emboli. He had been diagnosed with a left ventricular thrombus 2 years earlier, with multiple cerebral and peripheral emboli, and underwent surgery. We carried out redo surgery, and histology revealed organized thrombus. We discuss the management of this complex case.

Keywords: Crohn disease; heart ventricles; thrombosis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anti-Inflammatory Agents / therapeutic use
  • Anticoagulants / therapeutic use
  • Cardiac Surgical Procedures
  • Crohn Disease / complications*
  • Crohn Disease / diagnosis
  • Crohn Disease / drug therapy
  • Echocardiography, Transesophageal
  • Embolism / diagnosis
  • Embolism / etiology*
  • Embolism / surgery
  • Gastrointestinal Agents / therapeutic use
  • Heart Diseases / diagnosis
  • Heart Diseases / etiology*
  • Heart Diseases / surgery
  • Humans
  • Male
  • Recurrence
  • Thrombosis / diagnosis
  • Thrombosis / etiology*
  • Thrombosis / surgery
  • Treatment Outcome

Substances

  • Anti-Inflammatory Agents
  • Anticoagulants
  • Gastrointestinal Agents