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©2014 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Clin Cases. Feb 16, 2014; 2(2): 32-35
Published online Feb 16, 2014. doi: 10.12998/wjcc.v2.i2.32
Published online Feb 16, 2014. doi: 10.12998/wjcc.v2.i2.32
Surgical removal of a large mobile left ventricular thrombus via left atriotomy
Daizo Tanaka, Shinya Unai, James T Diehl, Hitoshi Hirose, Division of Cardiothoracic Surgery, Department of Surgery, Thomas Jefferson University, Philadelphia, PA 19107, United States
Author contributions: Tanaka D, Unai S, Diehl JT and Hirose H were all contributed to the patient care, surgery and writing the manuscript.
Correspondence to: Hitoshi Hirose, MD, Division of Cardiothoracic Surgery, Department of Surgery, Thomas Jefferson University, 1025 Walnut Street Room 605, Philadelphia, PA 19107, United States. Hitoshi.Hirose@jefferson.edu
Telephone: +1-215-955-5654 Fax: +1-215-955-6010
Received: November 12, 2013
Revised: December 14, 2013
Accepted: January 15, 2014
Published online: February 16, 2014
Revised: December 14, 2013
Accepted: January 15, 2014
Published online: February 16, 2014
Core Tip
Core tip: We successfully treated the patient of a large pedunculated left ventricular (LV) thrombus with poor LV function via left atriotomy. Compared to conventional ventriculotomy, left atrial approach would be more suitable for emergency LV thrombectomy for highly mobile thrombi because the left atriotomy may not further decrease the LV function and would preserve the LV apex for future ventricular assist device placement.