Abstract
We report successful surgical management of a 31-year-old man with a left ventricular thrombus following heart failure due to cardiac sarcoidosis. Preoperative echocardiography showed diffuse hypokinesis and a mobile ball-like thrombus in the left ventricle. Computed tomography revealed a left ventricular tumor and bilateral hilar lymphadenopathy, while MRI of the brain showed small infarctions in the occipital lobe. Postoperative pathologic examination of a specimen from the left ventricular free wall and a mediastinal lymph node revealed non-caseating granulomas consistent with cardiac sarcoidosis. The patient was referred to a cardiologist for further treatment with prednisolone. This is a rare case of surgical removal of a left ventricular ball-like thrombus in a patient with cardiac sarcoidosis.
MeSH terms
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Adult
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Anticoagulants / therapeutic use
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Cardiomyopathies / complications*
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Cardiomyopathies / drug therapy
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Cardiomyopathies / pathology
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Cardiomyopathies / surgery
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Cerebral Infarction / drug therapy
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Cerebral Infarction / etiology*
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Cerebral Infarction / pathology
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Cerebral Infarction / surgery
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Glucocorticoids / therapeutic use
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Heart Diseases / complications
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Heart Diseases / drug therapy
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Heart Diseases / etiology
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Heart Diseases / pathology
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Heart Diseases / surgery*
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Heart Failure / drug therapy
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Heart Failure / etiology*
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Heart Failure / pathology
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Heart Failure / surgery
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Heart Ventricles / surgery
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Humans
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Lymphatic Diseases / etiology
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Lymphatic Diseases / surgery
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Magnetic Resonance Imaging
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Male
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Occipital Lobe / pathology
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Prednisolone / therapeutic use
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Sarcoidosis / complications*
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Sarcoidosis / drug therapy
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Sarcoidosis / pathology
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Sarcoidosis / surgery
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Thrombectomy*
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Thrombosis / complications
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Thrombosis / drug therapy
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Thrombosis / etiology
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Thrombosis / pathology
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Thrombosis / surgery*
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Tomography, X-Ray Computed
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Treatment Outcome
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Warfarin / therapeutic use
Substances
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Anticoagulants
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Glucocorticoids
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Warfarin
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Prednisolone