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Case Reports
. 2021 Sep 27;2021(9):rjab426.
doi: 10.1093/jscr/rjab426. eCollection 2021 Sep.

Trans-aortic left ventricular thrombo-embolectomy following COVID-19 infection

Michael Janula  1 , Andre Navarro  1 , John Bonello  2 , Kevin Schembri  1 , Alex Borg  2
Affiliations
Case Reports

Trans-aortic left ventricular thrombo-embolectomy following COVID-19 infection

Michael Janula et al. J Surg Case Rep. .

Abstract

Left ventricular thrombosis is a known complication of myocardial infarction. COVID 19 has been shown to produce a procoagulant state resulting in venous and less commonly arterial thrombosis. Here, we describe a patient who presented with a non-ST elevation myocardial infarction (NSTEMI), in the context of a COVID 19 infection. This NSTEMI resulted in the formation of a large pedunculated apical thrombus, which was initially managed conservatively, however ultimately required surgical thromboembolectomy. Access to the left ventricle was gained via the transaortic route in order to avoid ventriculotomy in a patient with a reduced LV systolic function. Post-operative imaging confirmed complete resection of thrombus.

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Figures

Figure 1
Figure 1
Pre-operative echocardiogram showing LV thrombus.
Figure 2
Figure 2
Thrombus folllowing extraction from left ventricle.
See this image and copyright information in PMC

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