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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

The Amplatzer septal occluder (single arrow) and ICD electrode (double arrow) with thrombi. Transthoracic echocardiogram, substernal viewRA – right atrium, RV – right ventricle, Ao – aorta.
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Figure 0004: The Amplatzer septal occluder (single arrow) and ICD electrode (double arrow) with thrombi. Transthoracic echocardiogram, substernal viewRA – right atrium, RV – right ventricle, Ao – aorta.

Mentions: In order to prevent further thromboembolic complications the patient was put on aspirin and low molecular weight heparin. Antiphospholipid syndrome and other procoagulant conditions were excluded. Patent foramen ovale was successfully closed by a 25 mm Amplatzer septal occluder (Figures 3 and 4). In accordance with a regimen of percutaneous PFO treatment, the patient received dual antiplatelet therapy (aspirin and clopidogrel) for 3 months and after this period clopidogrel was discontinued. During the 30 months of follow-up the patient remained uneventful.


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

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

The Amplatzer septal occluder (single arrow) and ICD electrode (double arrow) with thrombi. Transthoracic echocardiogram, substernal viewRA – right atrium, RV – right ventricle, Ao – aorta.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 0004: The Amplatzer septal occluder (single arrow) and ICD electrode (double arrow) with thrombi. Transthoracic echocardiogram, substernal viewRA – right atrium, RV – right ventricle, Ao – aorta.
Mentions: In order to prevent further thromboembolic complications the patient was put on aspirin and low molecular weight heparin. Antiphospholipid syndrome and other procoagulant conditions were excluded. Patent foramen ovale was successfully closed by a 25 mm Amplatzer septal occluder (Figures 3 and 4). In accordance with a regimen of percutaneous PFO treatment, the patient received dual antiplatelet therapy (aspirin and clopidogrel) for 3 months and after this period clopidogrel was discontinued. During the 30 months of follow-up the patient remained uneventful.

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