A Pedunculated Left Ventricular Thrombus in a Women with Peripartum Cardiomyopathy: Evaluation by Three Dimensional Echocardiography
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Peripartum cardiomyopathy is a cardiac condition characterized by development of heart failure during the last month of pregnancyor during the first five months of post partum period without any other identifiable cause of heart failure. The hypercoagulablestate in the pregnancy along with left ventricular (LV) systolic dysfunction predisposes the patient to thromboembolic complicationslike intraventricular thrombi. We report a case of a 30-year-old female with peripartum cardiomyopathy along with ahighly mobile mass in the LV cavity on two dimensional echocardiography. Three dimensional transthoracic echocardiographyclearly showed the pedicle of the mass attached to the interventricular septum along with internal echolucent areas within themass. Due to denial of the patient to undergo surgery, she was started on oral anticoagulation, with complete dissolution of themass within one month.
Abstract
Peripartum cardiomyopathy is a cardiac condition characterized by development of heart failure during the last month of pregnancyor during the first five months of post partum period without any other identifiable cause of heart failure. The hypercoagulablestate in the pregnancy along with left ventricular (LV) systolic dysfunction predisposes the patient to thromboembolic complicationslike intraventricular thrombi. We report a case of a 30-year-old female with peripartum cardiomyopathy along with ahighly mobile mass in the LV cavity on two dimensional echocardiography. Three dimensional transthoracic echocardiographyclearly showed the pedicle of the mass attached to the interventricular septum along with internal echolucent areas within themass. Due to denial of the patient to undergo surgery, she was started on oral anticoagulation, with complete dissolution of themass within one month.
참고문헌 (10)
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