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A unique case of systemic thromboembolism in a patient with arrhythmogenic right ventricular cardiomyopathy.

Wozniak O, Konka M, Biernacka EK - Postepy Kardiol Interwencyjnej (2015)

Bottom Line: We report a case of a 37-year-old woman with arrhythmogenic right ventricular cardiomyopathy (ARVC), after implantation of a cardioverter-defibrillator (ICD), who was admitted to our hospital because of focal infarctions in the right kidney and in the spleen.Patent foramen ovale was successfully closed by septal occluder.To our knowledge it is the first ever case report of paradoxical thromboembolism in a patient with ARVC.

View Article: PubMed Central - PubMed

Affiliation: Department of Congenital Heart Diseases, Institute of Cardiology, Warsaw, Poland.

ABSTRACT
We report a case of a 37-year-old woman with arrhythmogenic right ventricular cardiomyopathy (ARVC), after implantation of a cardioverter-defibrillator (ICD), who was admitted to our hospital because of focal infarctions in the right kidney and in the spleen. Echocardiography showed thrombi on the ICD electrode and the presence of patent foramen ovale. Patent foramen ovale was successfully closed by septal occluder. To our knowledge it is the first ever case report of paradoxical thromboembolism in a patient with ARVC.

No MeSH data available.


Related in: MedlinePlus

Colour Doppler imaging of the PFO shunt (arrow). Transoesophageal echocardiogramLA – left atrium, RA – right atrium, Ao – aorta.
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Figure 0002: Colour Doppler imaging of the PFO shunt (arrow). Transoesophageal echocardiogramLA – left atrium, RA – right atrium, Ao – aorta.

Mentions: A 37-year-old woman with arrhythmogenic right ventricular cardiomyopathy (ARVC), after implantation of a cardioverter-defibrillator (ICD) in 2007 due to episodes of syncope, with a history of transient ischaemic attack (TIA) in 2011, was admitted to our hospital because of sharp, stabbing pain in the left epigastric area. Computed tomography scan revealed focal infarctions in the right kidney and in the spleen. Standard transthoracic echocardiography showed significant enlargement of the right ventricle and thrombi on the ICD electrode (Figure 1). In order to determine a mechanism of systemic thromboembolism in a patient with right heart thrombi transoesophageal echocardiography was performed, which revealed a shunt (Figure 2) through the patent foramen ovale (PFO). Valsalva maneuver after agitated saline injection demonstrated right-to-left paradoxical shunting.


A unique case of systemic thromboembolism in a patient with arrhythmogenic right ventricular cardiomyopathy.

Wozniak O, Konka M, Biernacka EK - Postepy Kardiol Interwencyjnej (2015)

Colour Doppler imaging of the PFO shunt (arrow). Transoesophageal echocardiogramLA – left atrium, RA – right atrium, Ao – aorta.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4372638&req=5

Figure 0002: Colour Doppler imaging of the PFO shunt (arrow). Transoesophageal echocardiogramLA – left atrium, RA – right atrium, Ao – aorta.
Mentions: A 37-year-old woman with arrhythmogenic right ventricular cardiomyopathy (ARVC), after implantation of a cardioverter-defibrillator (ICD) in 2007 due to episodes of syncope, with a history of transient ischaemic attack (TIA) in 2011, was admitted to our hospital because of sharp, stabbing pain in the left epigastric area. Computed tomography scan revealed focal infarctions in the right kidney and in the spleen. Standard transthoracic echocardiography showed significant enlargement of the right ventricle and thrombi on the ICD electrode (Figure 1). In order to determine a mechanism of systemic thromboembolism in a patient with right heart thrombi transoesophageal echocardiography was performed, which revealed a shunt (Figure 2) through the patent foramen ovale (PFO). Valsalva maneuver after agitated saline injection demonstrated right-to-left paradoxical shunting.

Bottom Line: We report a case of a 37-year-old woman with arrhythmogenic right ventricular cardiomyopathy (ARVC), after implantation of a cardioverter-defibrillator (ICD), who was admitted to our hospital because of focal infarctions in the right kidney and in the spleen.Patent foramen ovale was successfully closed by septal occluder.To our knowledge it is the first ever case report of paradoxical thromboembolism in a patient with ARVC.

View Article: PubMed Central - PubMed

Affiliation: Department of Congenital Heart Diseases, Institute of Cardiology, Warsaw, Poland.

ABSTRACT
We report a case of a 37-year-old woman with arrhythmogenic right ventricular cardiomyopathy (ARVC), after implantation of a cardioverter-defibrillator (ICD), who was admitted to our hospital because of focal infarctions in the right kidney and in the spleen. Echocardiography showed thrombi on the ICD electrode and the presence of patent foramen ovale. Patent foramen ovale was successfully closed by septal occluder. To our knowledge it is the first ever case report of paradoxical thromboembolism in a patient with ARVC.

No MeSH data available.


Related in: MedlinePlus