Intracardiac thrombus and Murphy's law: Reflections on a clinical dilemma

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• 作者：Patrí ; cia Rodrigues ; ^{pfdrodrigues@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Maria Joã ; o Sousa ; Luí ; sa Caiado ; Sofia Cabral ; Ana Meireles ; Má ; rio Santos ; Paulo Palma ; Severo Torres
• 关键词：Left ventricular thrombus ; Embolization ; Anticoagulation ; Thrombectomy
• 刊名：Revista Portuguesa de Cardiologia (English Edition)
• 出版年：2016
• 出版时间：April 2016
• 年：2016
• 卷：35
• 期：4
• 页码：233.e1-233.e3
• 全文大小：579 K

文摘

We discuss the case of a 49-year-old patient with left ventricular systolic dysfunction and a large, mobile and protruding apical thrombus. In spite of anticoagulation treatment, extensive and clearly defined systemic embolization occurred.

We discuss the current evidence on the treatment of intracardiac thrombus with high risk of systemic embolization and propose a tailored approach to avoid potential catastrophic consequences.