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CC BY-NC-ND 4.0 · J Neuroanaesth Crit Care 2022; 09(02): 112-114
DOI: 10.1055/s-0041-1734421
Case Report

Rare Case of Left Ventricular Thrombus Postmyocardial Infarction for Emergency Decompressive Craniectomy

Thirumurugan Arikrishnan 
1   Department of Anaesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
,
Deepak Chakravarthy 
1   Department of Anaesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
,
Duraiyarassu Uthaman
1   Department of Anaesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
,
Gnanasekaran Srinivasan
1   Department of Anaesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
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Abstract

Left ventricular (LV) thrombus formation is a notorious complication encountered in postmyocardial infarction patients. Such cases, when coming for noncardiac surgery, put the patient at greater risk of embolic events. Anesthesiologists play a pivotal role in the management of such rare and difficult cases. There is sparse evidence on management of such cases for noncardiac surgery. Hence, we would like to share our experience of a young patient with LV thrombus posted for left decompressive craniectomy.

Keywords

craniectomy - left ventricular thrombus - myocardial infarction


Publication History

Article published online:
24 October 2021

© 2021. Indian Society of Neuroanaesthesiology and Critical Care. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Osman I, Le D, Movahed A. et al. A fatal giant left ventricular thrombus protruding to the left atrium after anterior wall myocardial infarction. Heart Circ 2017; 1: 14
    PubMedGoogle Scholar
  • 2 Habash F, Vallurupalli S. Challenges in management of left ventricular thrombus. Ther Adv Cardiovasc Dis 2017; 11 (08) 203-213
    CrossrefPubMedGoogle Scholar
  • 3 Madhusudhana R, Kumar R, Dinesh K, Somasekharam P. A case of patient with left ventricular clot posted for laparotomy. KAJ 2010; 11: 40-42
    PubMedGoogle Scholar
  • 4 Taneja R, Aguirre MA, Shi C, Greilich PE. Embolization of left ventricular apical thrombus during cardiac surgery. Anesth Analg 2010; 111 (01) 74-75
    CrossrefPubMedGoogle Scholar
  • 5 Kokawa K, Iranami H, Maeda H, Tajima T, Yamamoto M, Hatano Y. Sevoflurane anesthesia in patients with cardiomyopathy. J Jpn Soc Clin Anesth 1995; 15: 566-569
    CrossrefPubMedGoogle Scholar
  • 6 Delewi R, Zijlstra F, Piek JJ. Left ventricular thrombus formation after acute myocardial infarction. Heart 2012; 98 (23) 1743-1749
    CrossrefPubMedGoogle Scholar