Department of Cardiovascular Surgery, Eastern Chiba Medical Center, 3-6-2 Okayamadai, Togane, Chiba, 283-8686, Japan.
Gen Thorac Cardiovasc Surg. 2021 Jul;69(7):1140-1143. doi: 10.1007/s11748-021-01622-4. Epub 2021 Mar 20.
Left ventricular thrombus is life-threatening when it causes systemic embolization. In cases with a high risk of systemic embolization, left ventricular thrombectomy is recommended. However, the optimal surgical approach is unclear, especially for non-ischemic cardiomyopathy, because left ventriculotomy carries the risk of postoperative cardiac dysfunction. We herein report a male patient with multiple left ventricular thrombi due to acute myocarditis. Endoscopy-assisted left ventricular thrombectomy through right mini-thoracotomy was successfully performed. This method might be an efficient and less-invasive left ventricular thrombectomy for non-ischemic cardiomyopathy.
当左心室血栓导致体循环栓塞时，会有生命危险。对于有高体循环栓塞风险的患者，建议进行左心室血栓切除术。然而，对于非缺血性心肌病患者，最佳的手术方法尚不清楚，因为左心室切开术有术后心功能障碍的风险。本文报告了 1 例因急性心肌炎导致多发性左心室血栓的男性患者。通过右小开胸辅助内镜下左心室血栓切除术获得成功。对于非缺血性心肌病，这种方法可能是一种有效且微创的左心室血栓切除术。
