Trombos intraventriculares com embolização sistémica: A propósito de dois casos clínicos

Translated title of the contribution: Intraventricular thrombi with systemic embolization: Two clinical cases

Pedro Magno, Antonio Freitas, Pedro Cunha, Jose Loureiro, Jose Fragata, Rafael Ferreira

Research output: Contribution to journalArticlepeer-review

Abstract

Ventricular thrombi are a frequent complication of dilated cardiomyopathy and acute myocardial infarction, with variable risk of embolization according to the clinical setting and thrombus morphology. The authors report two cases of patients admitted on the same day for acute myocardial infarction and dilated cardiomyopathy respectively, with high embolic risk left ventricular thrombi that embolized to the lower limbs after admission. Echocardiography, considered the gtold standard diagnostic tool for intraventricular thrombi, is also the mainstay of embolic risk evaluation, for characterizing their size, mobility and echostructure. In the absence of evidence-based guidelines, management options - anticoagulation therapy, thrombolysis or thrombectomy - must be decided according to each specific case, taking account of embolic, bleeding and surgical risk.

Translated title of the contributionIntraventricular thrombi with systemic embolization: Two clinical cases
Original languagePortuguese
Pages (from-to)207-213
Number of pages7
JournalRevista Portuguesa de Cardiologia
Volume25
Issue number2
Publication statusPublished - 1 Feb 2006

Keywords

  • Left ventricular thrombus
  • Systemic embolization
  • Thrombectomy

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