Key result
Urgent surgical thrombectomy was successfully performed in a 10-year-old girl with acute lymphocytic myocarditis and two large left ventricular thrombi, resulting in good recovery without thromboembolism.
Case Report (n=1)
Urgent surgical thrombectomy can be successfully utilized for large, mobile left ventricular thrombi in pediatric patients with acute myocarditis.
May inform rare pediatric myocarditis cases with large LV thrombi; leaves open need for prospective data on management.
Myocarditis is a potentially life-threatening disease. Although ventricular thrombus formation in myocarditis is rare, it carries the risk of serious complications. We report on a 10-year-old previously healthy girl presenting with 2 large left ventricular thrombi in acute lymphocytic acute myocarditis. No coagulation disorder was found. Her clinical course and mobile thrombi characteristics prompted us to carry out an urgent surgical thrombectomy rather than primary anticoagulation therapy. The patient has recovered well without clinical signs of thromboembolism.
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Dechant et al. (2013) conducted a case report in Acute lymphocytic myocarditis with left ventricular thrombi (n=1). Urgent surgical thrombectomy was evaluated on Clinical recovery and signs of thromboembolism. Urgent surgical thrombectomy was successfully performed in a 10-year-old girl with acute lymphocytic myocarditis and two large left ventricular thrombi, resulting in good recovery without thromboembolism.
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