DOI QR코드

DOI QR Code

A PEDUNCULATED LEFT VENTRICULAR THROMBUS IN A WOMEN WITH PERIPARTUM CARDIOMYOPATHY: EVALUATION BY THREE DIMENSIONAL ECHOCARDIOGRAPHY

  • 투고 : 2014.02.10
  • 심사 : 2014.08.20
  • 발행 : 2014.09.27

초록

Peripartum cardiomyopathy is a cardiac condition characterized by development of heart failure during the last month of pregnancy or during the first five months of post partum period without any other identifiable cause of heart failure. The hypercoagulable state in the pregnancy along with left ventricular (LV) systolic dysfunction predisposes the patient to thromboembolic complications like intraventricular thrombi. We report a case of a 30-year-old female with peripartum cardiomyopathy along with a highly mobile mass in the LV cavity on two dimensional echocardiography. Three dimensional transthoracic echocardiography clearly showed the pedicle of the mass attached to the interventricular septum along with internal echolucent areas within the mass. Due to denial of the patient to undergo surgery, she was started on oral anticoagulation, with complete dissolution of the mass within one month.

키워드

참고문헌

  1. Demakis JG, Rahimtoola SH. Peripartum cardiomyopathy. Circulation 1971;44:964-8. https://doi.org/10.1161/01.CIR.44.5.964
  2. Cunningham FG, Pritchard JA, Hankins GD, Anderson PL, Lucas MJ, Armstrong KF. Peripartum heart failure: idiopathic cardiomyopathy or compounding cardiovascular events? Obstet Gynecol 1986;67:157-68. https://doi.org/10.1097/00006250-198602000-00002
  3. Bhattacharyya A, Basra SS, Sen P, Kar B. Peripartum cardiomyopathy: a review. Tex Heart Inst J 2012;39:8-16.
  4. Demakis JG, Rahimtoola SH, Sutton GC, Meadows WR, Szanto PB, Tobin JR, Gunnar RM. Natural course of peripartum cardiomyopathy. Circulation 1971;44:1053-61. https://doi.org/10.1161/01.CIR.44.6.1053
  5. Stratton JR, Lighty GW Jr, Pearlman AS, Ritchie JL. Detection of left ventricular thrombus by two-dimensional echocardiography: sensitivity, specificity, and causes of uncertainty. Circulation 1982;66:156-66. https://doi.org/10.1161/01.CIR.66.1.156
  6. Srichai MB, Junor C, Rodriguez LL, Stillman AE, Grimm RA, Lieber ML, Weaver JA, Smedira NG, White RD. Clinical, imaging, and pathological characteristics of left ventricular thrombus: a comparison of contrast-enhanced magnetic resonance imaging, transthoracic echocardiography, and transesophageal echocardiography with surgical or pathological validation. Am Heart J 2006;152:75-84. https://doi.org/10.1016/j.ahj.2005.08.021
  7. Sinha A, Nanda NC, Khanna D, Dod HS, Vengala S, Mehmood F, Agrawal G, Upendram S. Morphological assessment of left ventricular thrombus by live three-dimensional transthoracic echocardiography. Echocardiography 2004;21:649-55. https://doi.org/10.1111/j.0742-2822.2004.04062.x
  8. Duncan K, Nanda NC, Foster WA, Mehmood F, Patel V, Singh A. Incremental value of live/real time three-dimensional transthoracic echocardiography in the assessment of left ventricular thrombi. Echocardiography 2006;23:68-72. https://doi.org/10.1111/j.1540-8175.2006.00176.x
  9. Nili M, Deviri E, Jortner R, Strasberg B, Levy MJ. Surgical removal of a mobile, pedunculated left ventricular thrombus: report of 4 cases. Ann Thorac Surg 1988;46:396-400. https://doi.org/10.1016/S0003-4975(10)64651-6
  10. Altuwaijri WA, Kirkpatrick ID, Jassal DS, Soni A. Vanishing left ventricular thrombus in a woman with peripartum cardiomyopathy: a case report. BMC Res Notes 2012;5:544. https://doi.org/10.1186/1756-0500-5-544

피인용 문헌

  1. Echocardiography in Pregnancy: Part 1 vol.18, pp.9, 2016, https://doi.org/10.1007/s11886-016-0760-7
  2. Peripartum Cardiomyopathy vol.133, pp.14, 2016, https://doi.org/10.1161/circulationaha.115.020491
  3. Cardiac intraventricular mass from lung adenocarcinoma vol.23, pp.1, 2017, https://doi.org/10.1515/semcard-2017-0002
  4. Pulmonary thromboembolism presenting with chest pain in a case of peripartum cardiomyopathy vol.16, pp.4, 2014, https://doi.org/10.2217/fca-2019-0029