Systemic emboli in children with normal cardiac function should prompt echocardiographic evaluation for unusual thrombi and investigation for hereditary thrombophilic risk factors like protein C deficiency.
LV thrombus warrants consideration in children with emboli despite normal function; case report leaves open protein C deficiency screening role.
We present a case of left ventricular thrombus in a child with a normal functioning left ventricle. The diagnosis was made by 2-dimensional echocardiography after 2 episodes of systemic emboli. Hereditary protein C deficiency diagnosed in the patient provides the probable pathogenesis of the thrombus formation. Systemic emboli necessitates cardiac examination, and in cases of unusual thrombi, hereditary or acquired thrombophilic risk factors should be considered.
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Matitiau et al. (2001) studied this question.
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