Intracardiac thrombus and Murphy's law: Reflections on a clinical dilemma

We discuss the case of a 49-year-old patient with left ventricular systolic dysfunction and a large, mobile and protruding apical thrombus. In spite of anticoagulation treatment, extensive and clearly defined systemic embolization occurred.We discuss the current evidence on the treatment of intracar...

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Main Authors:	Patrícia Rodrigues, Maria João Sousa, Luísa Caiado, Sofia Cabral, Ana Meireles, Mário Santos, Paulo Palma, Severo Torres
Format:	Article
Language:	English
Published:	Elsevier 2016-04-01
Series:	Revista Portuguesa de Cardiologia (English Edition)
Online Access:	http://www.sciencedirect.com/science/article/pii/S2174204916300034

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spelling	doaj-9996b599b99f411fb63e721a6df6dc542020-11-25T01:51:38ZengElsevierRevista Portuguesa de Cardiologia (English Edition)2174-20492016-04-01354233.e1233.e3Intracardiac thrombus and Murphy's law: Reflections on a clinical dilemmaPatrícia Rodrigues0Maria João Sousa1Luísa Caiado2Sofia Cabral3Ana Meireles4Mário Santos5Paulo Palma6Severo Torres7Corresponding author.; Cardiology Department, Centro Hospitalar do Porto, Porto, PortugalCardiology Department, Centro Hospitalar do Porto, Porto, PortugalCardiology Department, Centro Hospitalar do Porto, Porto, PortugalCardiology Department, Centro Hospitalar do Porto, Porto, PortugalCardiology Department, Centro Hospitalar do Porto, Porto, PortugalCardiology Department, Centro Hospitalar do Porto, Porto, PortugalCardiology Department, Centro Hospitalar do Porto, Porto, PortugalCardiology Department, Centro Hospitalar do Porto, Porto, PortugalWe discuss the case of a 49-year-old patient with left ventricular systolic dysfunction and a large, mobile and protruding apical thrombus. In spite of anticoagulation treatment, extensive and clearly defined systemic embolization occurred.We discuss the current evidence on the treatment of intracardiac thrombus with high risk of systemic embolization and propose a tailored approach to avoid potential catastrophic consequences. Resumo: Apresentamos o caso de um doente de 49 anos com disfunção sistólica ventricular esquerda e um trombo apical de grandes dimensões, móvel e com protrusão para a cavidade ventricular. Apesar do tratamento anticoagulante, ocorreram vários fenómenos de embolização sistémica, extensos e muito ilustrativos.Discutimos a evidência atual sobre o tratamento de trombos intracardíacos com alto risco de embolização sistémica e propomos uma reflexão sobre uma abordagem personalizada para evitar potenciais consequências catastróficas. Keywords: Left ventricular thrombus, Embolization, Anticoagulation, Thrombectomy, Palavras-chave: Trombo do ventrículo esquerdo, Embolização, Anticoagulação, Trombectomiahttp://www.sciencedirect.com/science/article/pii/S2174204916300034
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Patrícia Rodrigues Maria João Sousa Luísa Caiado Sofia Cabral Ana Meireles Mário Santos Paulo Palma Severo Torres
spellingShingle	Patrícia Rodrigues Maria João Sousa Luísa Caiado Sofia Cabral Ana Meireles Mário Santos Paulo Palma Severo Torres Intracardiac thrombus and Murphy's law: Reflections on a clinical dilemma Revista Portuguesa de Cardiologia (English Edition)
author_facet	Patrícia Rodrigues Maria João Sousa Luísa Caiado Sofia Cabral Ana Meireles Mário Santos Paulo Palma Severo Torres
author_sort	Patrícia Rodrigues
title	Intracardiac thrombus and Murphy's law: Reflections on a clinical dilemma
title_short	Intracardiac thrombus and Murphy's law: Reflections on a clinical dilemma
title_full	Intracardiac thrombus and Murphy's law: Reflections on a clinical dilemma
title_fullStr	Intracardiac thrombus and Murphy's law: Reflections on a clinical dilemma
title_full_unstemmed	Intracardiac thrombus and Murphy's law: Reflections on a clinical dilemma
title_sort	intracardiac thrombus and murphy's law: reflections on a clinical dilemma
publisher	Elsevier
series	Revista Portuguesa de Cardiologia (English Edition)
issn	2174-2049
publishDate	2016-04-01
description	We discuss the case of a 49-year-old patient with left ventricular systolic dysfunction and a large, mobile and protruding apical thrombus. In spite of anticoagulation treatment, extensive and clearly defined systemic embolization occurred.We discuss the current evidence on the treatment of intracardiac thrombus with high risk of systemic embolization and propose a tailored approach to avoid potential catastrophic consequences. Resumo: Apresentamos o caso de um doente de 49 anos com disfunção sistólica ventricular esquerda e um trombo apical de grandes dimensões, móvel e com protrusão para a cavidade ventricular. Apesar do tratamento anticoagulante, ocorreram vários fenómenos de embolização sistémica, extensos e muito ilustrativos.Discutimos a evidência atual sobre o tratamento de trombos intracardíacos com alto risco de embolização sistémica e propomos uma reflexão sobre uma abordagem personalizada para evitar potenciais consequências catastróficas. Keywords: Left ventricular thrombus, Embolization, Anticoagulation, Thrombectomy, Palavras-chave: Trombo do ventrículo esquerdo, Embolização, Anticoagulação, Trombectomia
url	http://www.sciencedirect.com/science/article/pii/S2174204916300034
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Intracardiac thrombus and Murphy's law: Reflections on a clinical dilemma

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