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A large pedunculated left ventricular thrombus with recurrent systemic thromboembolism in a young man.

Park JE, Kim WJ, Choi DS, Suh SK, Whang JW, Kim HM - Korean J. Intern. Med. (1986)

View Article: PubMed Central - PubMed

ABSTRACT

We present the case of a young man who has suffered from recurrent systemic thromboembolism since he developed an acute interior wall myocardial infarction at the age of 27. A large elongated, pendunculated left ventricular thrombus was found by two dimensional echocardiography and was successfully removed by open heart surgery.

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Anterior view of the thrombus taken from left ventricle. Left end of the thrombus was connected to left ventricular apex and right end was free-floating in left ventricular outflow tract. Thrombus measured 7.0×4.5×2.7 cm and weighed 35 gm.
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f3-kjim-1-2-254-19: Anterior view of the thrombus taken from left ventricle. Left end of the thrombus was connected to left ventricular apex and right end was free-floating in left ventricular outflow tract. Thrombus measured 7.0×4.5×2.7 cm and weighed 35 gm.

Mentions: The gross specimen measured 7.0×4.5×2.7cm and weighed 35 gm (Fig. 3): On pathologic examination the mass was confirmed to be a thrombus. The surface of the mass was irregular and grayish-pink colored with multiple hemorrhagic foci. On the cut surface could be seen whitish-yellow-to-pinkish-brown, soft tissue with interlacing bundles. The microscopic examination revealed fibrinous lamellated eosinophilic material mixed with coagulated RBSs, WBCs, platelets, cholesterol clefts, and focal calcifications. At the periphery of the mass, fibroblastic proliferation was seen, sections from the right autricle and the left ventricle revealed the coagulative necrosis of myocardial fibers and fibroblastic proliferation.


A large pedunculated left ventricular thrombus with recurrent systemic thromboembolism in a young man.

Park JE, Kim WJ, Choi DS, Suh SK, Whang JW, Kim HM - Korean J. Intern. Med. (1986)

Anterior view of the thrombus taken from left ventricle. Left end of the thrombus was connected to left ventricular apex and right end was free-floating in left ventricular outflow tract. Thrombus measured 7.0×4.5×2.7 cm and weighed 35 gm.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4536726&req=5

f3-kjim-1-2-254-19: Anterior view of the thrombus taken from left ventricle. Left end of the thrombus was connected to left ventricular apex and right end was free-floating in left ventricular outflow tract. Thrombus measured 7.0×4.5×2.7 cm and weighed 35 gm.
Mentions: The gross specimen measured 7.0×4.5×2.7cm and weighed 35 gm (Fig. 3): On pathologic examination the mass was confirmed to be a thrombus. The surface of the mass was irregular and grayish-pink colored with multiple hemorrhagic foci. On the cut surface could be seen whitish-yellow-to-pinkish-brown, soft tissue with interlacing bundles. The microscopic examination revealed fibrinous lamellated eosinophilic material mixed with coagulated RBSs, WBCs, platelets, cholesterol clefts, and focal calcifications. At the periphery of the mass, fibroblastic proliferation was seen, sections from the right autricle and the left ventricle revealed the coagulative necrosis of myocardial fibers and fibroblastic proliferation.

View Article: PubMed Central - PubMed

ABSTRACT

We present the case of a young man who has suffered from recurrent systemic thromboembolism since he developed an acute interior wall myocardial infarction at the age of 27. A large elongated, pendunculated left ventricular thrombus was found by two dimensional echocardiography and was successfully removed by open heart surgery.

Show MeSH
Related in: MedlinePlus