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THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


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The Journal of Cardiovascular Surgery 2001 April;42(2):211-2

lingua: Inglese

Left ventricular thrombosis after blunt chest trauma

Ruvolo G., Fattouch K., Speziale G., Macrina F., Tonelli E., Marino B.

From the Institute of Cardiac Surgery University of Rome “La Sapienza”, Rome, Italy


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A 22-­year-old man was admit­ted to our obser­va­tion ­with ­left ven­tric­u­lar throm­bus aris­ing ­after ­blunt ­chest trau­ma occur­ring dur­ing a ski acci­dent one ­year ­before. None was ­obtained ­from a ­review of instru­men­tal and labor­a­to­ry ­data at trau­ma ­time. Transesophageal ech­o­car­di­og­ra­phy ­showed an intra­ven­tric­u­lar throm­bus and ­severe hypo­ki­ne­sia at the ­apex. Standard car­diac sur­gery pro­ce­dure was per­formed and post­op­er­a­tive peri­od was unevent­ful. Echocardiography con­trols at 6/12 ­months ­showed a nor­mal ­apex kine­sia. This ­case ­shows the impor­tance of hos­pi­tal­iza­tion, hemo­dy­nam­ics mon­i­tor­iza­tion and ­late seri­al echoc­ar­di­o­graph­ic con­trols for time­ly diag­no­sis and man­age­ment of myo­car­dial con­tu­sion and con­sec­u­tive ven­tric­u­lar throm­bus for­ma­tion to pre­vent ­life-threat­en­ing com­pli­ca­tions.

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