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Transaortic Extraction of Left Ventricular Thrombus.
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ABSTRACT: Background
Left ventricular thrombi may complicate acute myocardial infarction, and anticoagulation is the mainstay of management. Surgical thrombectomy may be considered in some patients with a perceived high risk for thromboembolism if there is another indication for urgent cardiac surgery.Case summary
A 43-year-old diabetic man presented with a non-ST-segment elevation myocardial infarction and an acute left ventricular thrombus. He had a transaortic thrombectomy and coronary artery bypass graft.Discussion
The usual approach for surgical thrombectomy is left ventriculotomy. This however may cause deterioration of left ventricular function. A left atrial approach has also been described but access may be challenging. A video-assisted transaortic left ventriculoscopy combines excellent visualization provided by the endoscope and avoidance of a left ventriculotomy.Take-home messages
Surgical thrombectomy may be beneficial in a select group of patients with acute left ventricular thrombus. A video-assisted transaortic approach provides excellent access and visualization in these patients.
SUBMITTER: Eyekpegha J
PROVIDER: S-EPMC12426540 | biostudies-literature | 2025 Aug
REPOSITORIES: biostudies-literature
Publications
Transaortic Extraction of Left Ventricular Thrombus.
JACC. Case reports 20250801 22
<h4>Background</h4>Left ventricular thrombi may complicate acute myocardial infarction, and anticoagulation is the mainstay of management. Surgical thrombectomy may be considered in some patients with a perceived high risk for thromboembolism if there is another indication for urgent cardiac surgery.<h4>Case summary</h4>A 43-year-old diabetic man presented with a non-ST-segment elevation myocardial infarction and an acute left ventricular thrombus. He had a transaortic thrombectomy and coronary ...[more]