Left Ventricular Thrombus Formation After Repair of Anomalous Left Coronary Artery From the Pulmonary Artery

Lindsay R. Freud; Peter R. Koenig; Hyde M. Russell; Angira Patel

doi:10.1177/2150135113510185

Left Ventricular Thrombus Formation After Repair of Anomalous Left Coronary Artery From the Pulmonary Artery

Lindsay R. Freud, Peter R. Koenig, Hyde M. Russell, Angira Patel^*

^*Corresponding author for this work

Pediatrics

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

Although thrombus formation following myocardial infarction in adults is well known, intracardiac thrombosis in children is uncommon. We report the case of a large left ventricular thrombus in an infant with ischemic cardiomyopathy secondary to anomalous origin of the left coronary artery from the pulmonary artery. Given its mobility and protrusion across the aortic valve, the patient underwent urgent thrombus removal through a transaortic approach. There were no embolic or neurologic complications. This case highlights that thrombectomy may be performed safely and successfully in critically ill pediatric patients.

Original language	English (US)
Pages (from-to)	342-344
Number of pages	3
Journal	World Journal for Pediatric and Congenital Heart Surgery
Volume	5
Issue number	2
DOIs	https://doi.org/10.1177/2150135113510185
State	Published - Apr 2014

Keywords

congenital heart surgery
coronary artery anomaly
echocardiography
thrombosis (intracardiac)

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Surgery
Pediatrics, Perinatology, and Child Health

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10.1177/2150135113510185

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title = "Left Ventricular Thrombus Formation After Repair of Anomalous Left Coronary Artery From the Pulmonary Artery",

abstract = "Although thrombus formation following myocardial infarction in adults is well known, intracardiac thrombosis in children is uncommon. We report the case of a large left ventricular thrombus in an infant with ischemic cardiomyopathy secondary to anomalous origin of the left coronary artery from the pulmonary artery. Given its mobility and protrusion across the aortic valve, the patient underwent urgent thrombus removal through a transaortic approach. There were no embolic or neurologic complications. This case highlights that thrombectomy may be performed safely and successfully in critically ill pediatric patients.",

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AU - Russell, Hyde M.

AU - Patel, Angira

PY - 2014/4

Y1 - 2014/4

N2 - Although thrombus formation following myocardial infarction in adults is well known, intracardiac thrombosis in children is uncommon. We report the case of a large left ventricular thrombus in an infant with ischemic cardiomyopathy secondary to anomalous origin of the left coronary artery from the pulmonary artery. Given its mobility and protrusion across the aortic valve, the patient underwent urgent thrombus removal through a transaortic approach. There were no embolic or neurologic complications. This case highlights that thrombectomy may be performed safely and successfully in critically ill pediatric patients.

AB - Although thrombus formation following myocardial infarction in adults is well known, intracardiac thrombosis in children is uncommon. We report the case of a large left ventricular thrombus in an infant with ischemic cardiomyopathy secondary to anomalous origin of the left coronary artery from the pulmonary artery. Given its mobility and protrusion across the aortic valve, the patient underwent urgent thrombus removal through a transaortic approach. There were no embolic or neurologic complications. This case highlights that thrombectomy may be performed safely and successfully in critically ill pediatric patients.

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KW - coronary artery anomaly

KW - echocardiography

KW - thrombosis (intracardiac)

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Left Ventricular Thrombus Formation After Repair of Anomalous Left Coronary Artery From the Pulmonary Artery

Abstract

Keywords

ASJC Scopus subject areas

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