A Case of Hypertrophic Cardiomyopathy with Two Times Thromboembolism and Intraventricular Thrombus

(Department of Cardiovascular Surgery, Fukui Cardiovascular Center, Fukui, Japan)

Keitarou Koushi Yasushi Tutumi Osamu Monta
Yosuke Takahashi Kimitoshi Kitani Tomohiko Sakamoto
Hirokazu Ohashi
We present a rare case of a 59-year-old-man with a diagnosis of hypertrophic cardiomyopathy(HCM)complicated with left ventricular thrombus. He was admitted to our hospital because of acute re-occlusion of the right brachial artery. Thrombectomy was performed and reperfusion was obtained. Anti-coagulation therapy was started from that day. Four days after surgery, echocardiography revealed mobile thrombus in left ventricular apical aneurysm that was not detected on admission. An emergency thrombectomy and left ventriculoplasty was performed. The patient was discharged 22 days after surgery in good condition.
  Jpn. J. Cardiovasc. Surg. 39:137-140(2010)

Keywords:hypertrophic cardiomyopathy, left ventricular aneurysm, left ventricular thrombus, left ventriculoplasty