Why the study?
To understand the risk of thromboembolism, it is necessary to recognize when left ventricular thrombus is most likely to occur in cardiac disease.
Case Report (n=1)
No
Left ventricular thrombus can form within 48 hours of acute lymphocytic myocarditis onset, highlighting the need for early echocardiographic monitoring and potential surgical thrombectomy.
Prompts early LVT vigilance in acute myocarditis; single case leaves screening timing and impact open for study.
A left ventricular thrombus (LVT) in cardiac disease is associated with various adverse events. To understand the risk of thromboembolism, it is necessary to recognize when LVT is most likely to occur. We present a case of acute lymphocytic myocarditis in a young patient, where the LVT manifestation occurred within 48 hours after the beginning of the disease and was treated by thrombectomy. We have not found any reports of LVT formation earlier than in this case. Patients with acute myocarditis are younger, at a median age of 34 years, and the social impact of embolic complications is considerable. Echocardiography is effective in detecting LVT noninvasively in low- and high-risk patients. Patients with myocarditis can benefit from careful observation by echocardiography.
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Honda et al. (2023) conducted a case report in Acute lymphocytic myocarditis with left ventricular thrombus (n=1). Surgical thrombectomy was evaluated on Embolic events and postoperative complications.
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