Recurrent left ventricular thrombus due to essential thrombocythemia complicated by COVID-19.
In: Journal of Cardiology Cases, Jg. 29 (2024), Heft 1, S. 15-18
academicJournal
Zugriff:
Essential thrombocythemia is a risk factor for thrombosis and hemorrhage. During the perioperative period of cardiac surgery, the risk of thrombosis and hemorrhage increases. Coronavirus disease 2019 (COVID-19) is also associated with thrombosis. We present the case of a 69-year-old man with essential thrombocythemia complicated by COVID-19 who developed a left ventricular thrombus. We performed thrombectomy, but the patient developed recurrent left ventricular thrombus 8 days after surgery. Emergency redo thrombectomy was performed followed by aggressive blood-thinning therapy. The postoperative course was complicated by cardiac tamponade requiring surgical drainage 8 days after the second surgery. The patient was discharged home 25 days after the second operation without any complications. Left ventricular thrombus is a rare but fatal complication associated with essential thrombocythemia. COVID-19 has also been reported to cause coagulopathy. This case suggested that after surgery for left ventricular thrombus complicated by multiple risk factors including essential thrombocythemia and COVID-19, aggressive blood-thinning therapy with combination of anticoagulation, antiplatelet, and metabolic antagonist may help prevent recurrent thrombosis. [ABSTRACT FROM AUTHOR]
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Titel: |
Recurrent left ventricular thrombus due to essential thrombocythemia complicated by COVID-19.
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Autor/in / Beteiligte Person: | Matsui, Kenta ; Kitamura, Tadashi ; Torii, Shinzo ; Mishima, Toshiaki ; Shikata, Fumiaki ; Fukuzumi, Masaomi ; Fujioka, Shunichiro ; Araki, Haruna ; Horikoshi, Rihito ; Tamura, Yoshimi ; Mori, Hisaya ; Miyaji, Kagami |
Zeitschrift: | Journal of Cardiology Cases, Jg. 29 (2024), Heft 1, S. 15-18 |
Veröffentlichung: | 2024 |
Medientyp: | academicJournal |
ISSN: | 1878-5409 (print) |
DOI: | 10.1016/j.jccase.2023.09.006 |
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