Giant Pedunculated Thrombus with Normal Left Ventricular Systolic Function Mimicking Myxoma
2010; Wiley; Volume: 28; Issue: 2 Linguagem: Inglês
10.1111/j.1540-8175.2010.01262.x
ISSN1540-8175
AutoresNorberto G. Allende, Fernando Sökn, Raúl A. Borracci, Arnaldo Milani, Ana Kusselevski, Jesus Camilletti, Jorge E. Trongé, Perelmuter Hector,
Tópico(s)Cardiovascular Effects of Exercise
ResumoA 74-year-old woman with a history of essential thrombocythemia was admitted to the Coronary Care Unit because of atypical chest pain. The transthoracic echocardiogram showed normal left ventricular (LV) diameter and preserved regional and global systolic function. A pedunculated mobile mass measuring 25 mm × 14 mm was visualized in the LV cavity, attached to the midanterior wall. Because of the typical echocardiographic appearance, a myxoma was suspected. The patient evolved with left hemiparesis and negative T-waves in the electrocardiogram. Left ventriculotomy with excision of the ventricular mass was performed. Histopathological examination revealed an organized thrombus. (Echocardiography 2011;28:E31-E33)
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