Surgical treatment of a left ventricular apical thrombus via robotic surgery.
Cengiz BolcalMurat KadanEmre KubatGökhan ErolSuat DoğancıPublished in: Journal of cardiac surgery (2019)
Left ventriculotomy for thrombus removal is usually associated with a high incidence of cardiac arrhythmias and decreased ejection fraction. A 51-year-old male patient was admitted to the emergency department with loss of consciousness. Transthoracic echocardiography revealed a 20 × 24-mm left ventricular apical nonpedunculated thrombus with normal ejection fraction. A persistent thrombus was shown on magnetic resonance imaging despite anticoagulation therapy. Robotic surgery was planned to avoid possible ventriculotomy-related complications, considering the preoperative neurological condition of the patient. The thrombus was completely removed surgically through left atriotomy using the DaVinci robotic system. In conclusion, robotic surgery can be used in the surgical treatment of left ventriculotomy thrombus in selected patients.
Keyphrases
- ejection fraction
- aortic stenosis
- left ventricular
- emergency department
- magnetic resonance imaging
- computed tomography
- acute myocardial infarction
- heart failure
- risk factors
- venous thromboembolism
- mitral valve
- cardiac resynchronization therapy
- left atrial
- atrial fibrillation
- minimally invasive
- magnetic resonance
- aortic valve
- prognostic factors
- smoking cessation
- bone marrow
- drug induced
- chemotherapy induced