Interventional Removal of LV Thrombus in a Patient With Cardiogenic Shock and Transitory Ischemic Attack

Meinrad Paul Gawaz; Jürgen Schreieck; Karin Anne Lydia Mueller; Tobias Geisler

doi:10.1016/j.jaccas.2023.101860

Interventional Removal of LV Thrombus in a Patient With Cardiogenic Shock and Transitory Ischemic Attack

JACC Case Rep. 2023 Apr 17:15:101860. doi: 10.1016/j.jaccas.2023.101860. eCollection 2023 Jun 7.

Authors

Meinrad Paul Gawaz¹, Jürgen Schreieck¹, Karin Anne Lydia Mueller¹, Tobias Geisler¹

Affiliation

¹ Department of Cardiology and Angiology, University Hospital Tübingen, Eberhard Karls University Tübingen, Tübingen, Germany.

Abstract

We discuss a 38-year-old bodybuilder who had cardiogenic shock and multiorgan failure. The patient developed significant speech disorders resulting from thromboembolism of a huge, volatile left ventricular thrombus. Because of inoperability and the threat of severe ischemic stroke, the thrombus was removed with a snare and application of a cerebral embolic protection device. (Level of Difficulty: Advanced.).

Keywords: cardiogenic shock; interventional therapy; left ventricular thrombus.

Publication types

Case Reports