Large in-transient left ventricular thrombus due to anabolic steroid-induced cardiomyopathyThe presence of small or moderate size thrombosis is not uncommon in left ventricle (LV) as results of basic co-moribund disease, but huge LV thrombosis that protrudes to aortic valve in the LV outflow tract (LVOT) tract is an exceptionally rare phenomenon. We report a 34-year-old bodybuilder athlete with cardiomyopathy and massive LV thrombosis. The thrombosis extended to LVOT and protruded through the aortic valve in systole and posed a high risk of systemic emboli. The patient underwent open heart surgery, and the clot was removed. The operation was complicated by low cardiac output syndrome that managed by intra-aortic balloon pump and high dose of inotropic drugs and hemodialysis. The patient died on the 15 th day after surgery with multiorgan failures.
Autor / Fonte:Feridoun Sabzi, Reza Faraji Indian Journal of Critical Care Medicine 2017, 21 (1): 51-54