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Case Reports
. 2022 Jan-Feb;15(1):90-93.
doi: 10.4103/apc.apc_82_21. Epub 2022 Jun 14.

Left ventricular thrombus in the multisystem inflammatory syndrome in children associated with COVID-19

Spencer B Barfuss  1 , Dongngan T Truong  1 , Karen E James  2 , Christi J Inman  2 , S Adil Husain  3 , Richard V Williams  1 , L LuAnn Minich  1 , Christopher R Mart  1
Affiliations
Case Reports

Left ventricular thrombus in the multisystem inflammatory syndrome in children associated with COVID-19

Spencer B Barfuss et al. Ann Pediatr Cardiol. 2022 Jan-Feb.

Abstract

A 3-year-old girl presenting with fever, mucocutaneous inflammation, and acute gastrointestinal symptoms met criteria for the multisystem inflammatory syndrome in children associated with COVID-19 (MIS-C). Echocardiography showed severely decreased left ventricular (LV) function with an apical mass. After treatment with intravenous (IV) immunoglobulin, IV steroids, anakinra, milrinone, and systemic anticoagulation, her LV function rapidly improved and the mass became increasingly mobile. Given the risk of systemic embolization, the mass was excised through left ventriculotomy and pathology confirmed a thrombus.

Keywords: Left ventricular thrombus; multisystem inflammatory syndrome in children; severe acute respiratory syndrome coronavirus 2; surgery.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
(a) Sessile mass in the left ventricular apex. (b) Mobile mass attached by a pedunculated portion to a broad base
Figure 2
Figure 2
(a) Left ventriculotomy used to access the mass. (b) Mass following complete resection. (c) Ventriculotomy closure using felt strips
See this image and copyright information in PMC

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