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. 2021 Jul;69(7):1140-1143.
doi: 10.1007/s11748-021-01622-4. Epub 2021 Mar 20.

Endoscopy-assisted removal of multiple left ventricular thrombi through right mini-thoracotomy

Shintaroh Koizumi  1 , Keiichi Ishida  2
Affiliations

Endoscopy-assisted removal of multiple left ventricular thrombi through right mini-thoracotomy

Shintaroh Koizumi et al. Gen Thorac Cardiovasc Surg. 2021 Jul.

Abstract

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.

Keywords: Endoscopy; Left ventricular thrombus; Thrombectomy.

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