Surgical removal of a left ventricular thrombus associated with cardiac sarcoidosis

Interact Cardiovasc Thorac Surg. 2008 Apr;7(2):333-5. doi: 10.1510/icvts.2007.171090. Epub 2008 Jan 21.

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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anticoagulants / therapeutic use
  • Cardiomyopathies / complications*
  • Cardiomyopathies / drug therapy
  • Cardiomyopathies / pathology
  • Cardiomyopathies / surgery
  • Cerebral Infarction / drug therapy
  • Cerebral Infarction / etiology*
  • Cerebral Infarction / pathology
  • Cerebral Infarction / surgery
  • Glucocorticoids / therapeutic use
  • Heart Diseases / complications
  • Heart Diseases / drug therapy
  • Heart Diseases / etiology
  • Heart Diseases / pathology
  • Heart Diseases / surgery*
  • Heart Failure / drug therapy
  • Heart Failure / etiology*
  • Heart Failure / pathology
  • Heart Failure / surgery
  • Heart Ventricles / surgery
  • Humans
  • Lymphatic Diseases / etiology
  • Lymphatic Diseases / surgery
  • Magnetic Resonance Imaging
  • Male
  • Occipital Lobe / pathology
  • Prednisolone / therapeutic use
  • Sarcoidosis / complications*
  • Sarcoidosis / drug therapy
  • Sarcoidosis / pathology
  • Sarcoidosis / surgery
  • Thrombectomy*
  • Thrombosis / complications
  • Thrombosis / drug therapy
  • Thrombosis / etiology
  • Thrombosis / pathology
  • Thrombosis / surgery*
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Warfarin / therapeutic use

Substances

  • Anticoagulants
  • Glucocorticoids
  • Warfarin
  • Prednisolone