Why the study?
Does oral anticoagulation resolve a pedunculated left ventricular thrombus in a patient with peripartum cardiomyopathy?
Does oral anticoagulation resolve a pedunculated left ventricular thrombus in a patient with peripartum cardiomyopathy?
Oral anticoagulation successfully resolved a pedunculated left ventricular thrombus in a patient with peripartum cardiomyopathy within one month.
Peripartum cardiomyopathy is a cardiac condition characterized by development of heart failure during the last month of pregnancy or during the first five months of post partum period without any other identifiable cause of heart failure. The hypercoagulable state in the pregnancy along with left ventricular (LV) systolic dysfunction predisposes the patient to thromboembolic complications like intraventricular thrombi. We report a case of a 30-year-old female with peripartum cardiomyopathy along with a highly mobile mass in the LV cavity on two dimensional echocardiography. Three dimensional transthoracic echocardiography clearly showed the pedicle of the mass attached to the interventricular septum along with internal echolucent areas within the mass. Due to denial of the patient to undergo surgery, she was started on oral anticoagulation, with complete dissolution of the mass within one month.
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Kharwar et al. (2014) studied this question.
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