Biventricular Thrombi Associated with Cardiac Systolic Dysfunction and Disseminated Intravascular Coagulation from Heat Stroke

Int Heart J. 2021 May 29;62(3):687-694. doi: 10.1536/ihj.20-558. Epub 2021 May 15.

Abstract

A 58-year-old man with non-ischemic cardiomyopathy visited a hospital once a month after his first hospitalization for heart failure. Three months later, he presented with consciousness impairment and heat stroke. Blood tests showed multiple organ failure, and echocardiography revealed biventricular thrombi. After admission, intensive care was provided, and anticoagulation therapy was initiated. The echocardiographic findings in the third week confirmed the complete disappearance of thrombi. Biventricular thrombi associated with disseminated intravascular coagulation from heat stroke is rare. We report the case of a patient who was treated with anticoagulation therapy only, without surgical intervention.

Keywords: Congestive heart failure; Non-ischemic cardiomyopathy; Ventricular thrombosis.

Publication types

  • Case Reports

MeSH terms

  • Anticoagulants / therapeutic use*
  • Disseminated Intravascular Coagulation / complications*
  • Heart Diseases / drug therapy
  • Heart Diseases / etiology*
  • Heart Diseases / physiopathology
  • Heat Stroke / complications*
  • Humans
  • Male
  • Middle Aged
  • Stroke Volume
  • Thrombosis / drug therapy
  • Thrombosis / etiology*
  • Thrombosis / physiopathology

Substances

  • Anticoagulants