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Case Reports
. 2014 Jan;15(1):22-5.
doi: 10.4103/1995-705X.132143.

Two cases of acute myocarditis with multiple intracardiac thrombi: the role of hypercoagulable States

Halil Atas  1 , Fuad Samadov  1 , Murat Sunbul  1 , Altug Cincin  1 , Kenan Delil  2 , Bulent Mutlu  1
Affiliations
Case Reports

Two cases of acute myocarditis with multiple intracardiac thrombi: the role of hypercoagulable States

Halil Atas et al. Heart Views. 2014 Jan.

Abstract

In acute myocarditis, thrombus formation is an important prognostic factor. Early diagnosis and treatment of intracardiac thrombus is critical, especially when there are multiple thrombi. When a patient presents with multiple cardiac thrombi not only cardiac disorders, but other diseases such as malignancies, rheumatologic disorders and thrombophilia must be considered in the differential diagnosis. Although the presence of hypercoagulable states does not generally affect the treatment choice, it may have an impact on continuation and duration of the anticoagulant therapy. In this paper, we present two cases of acute myocarditis with multiple intracardiac thrombi. Additionally, these cases had hypercoagulable states which might have contributed to the thrombus formation.

Keywords: Anticoagulant therapy; Intracardiac thrombus; hypercoagulable.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
(a) Transthoracic echocardiography, Apical 4-chamber view, Multiple intracardiac thrombus in the right atrium, right ventricle and left ventricle, (b) Transoesophageal echocardiography, mid-oesophageal view. A thrombus or intramural hematoma with mobile particles in the posterior wall of the descending aorta, (c) Transoesophageal echocardiography, upper-oesophageal view. A large thrombus in right atrium, (d) Transthoracic echocardiography, Apical 4-chamber view. No evidence of residual thrombus
Figure 2
Figure 2
(a and b) Transoesophageal echocardiography, mid-oesophageal view. Multiple intracardiac thrombus in the right atrium, (c) Transthoracic echocardiography, Apical 4-chamber view. A large thrombus in right atrium, (d) Transthoracic echocardiography, Apical 4-chamber view. No evidence of residual thrombus
See this image and copyright information in PMC

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