Complete resolution of the left ventricular pedunculated thrombus with tirofiban infusion in a patient with severe left ventricular dysfunction
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Tarih
2013
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Medcom Ltd
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
A 28-year-old man was admitted with symptoms of heart failure. Echocardiography revealed severe left ventricular dysfunction, apical aneurysm, and a 40 x 11 mm sized mobile thrombus attached to apical septum with a narrow stalk. The patient had anterior myocardial infarction two years ago. Heparin infusion was started at 1000 IU/hour for 48 hours. There was no detected change on the size of the thrombus. Surgery recommended to the patient was refused by him because of the procedural risks. Tirofiban infusion was started. Repeat echocardiography showed significant reduction in thrombus size after 24 hours, and complete resolution of the thrombus after 48 hours. To our knowledge, this is the first case with left ventricular mobile thrombus treated successfully with tirofiban infusion. (Hong Kong j.emerg.med. 2013;20:305-308)
Açıklama
Anahtar Kelimeler
Echocardiography, Glycoprotein Iib/Iiia Inhibitor, Heart Failure, Heparin, Thromboembolism
Kaynak
Hong Kong Journal of Emergency Medicine
WoS Q Değeri
Q4
Scopus Q Değeri
Q2
Cilt
20
Sayı
5
