Discontinuation of aspirin before non-cardiac surgery causing ventricular mural thrombus for a patient with left ventricular aneurysm: a case report

BACKGROUND: Left ventricular mural thrombus (LVMT) is a life-threatening complication in patients with left ventricular dysfunction. CASE PRESENTATION: A 67-year-old man had a history of penetrating myocardial infarction and left ventricular aneurysm (LVA). The patient was scheduled for a non-cardia...

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Autores principales: Huang, Linger, Wang, Kaili, Zhu, Shaojun, Wang, Kuirong, Zhou, Yanfeng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7427932/
https://www.ncbi.nlm.nih.gov/pubmed/32795304
http://dx.doi.org/10.1186/s12872-020-01643-6
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author Huang, Linger
Wang, Kaili
Zhu, Shaojun
Wang, Kuirong
Zhou, Yanfeng
author_facet Huang, Linger
Wang, Kaili
Zhu, Shaojun
Wang, Kuirong
Zhou, Yanfeng
author_sort Huang, Linger
collection PubMed
description BACKGROUND: Left ventricular mural thrombus (LVMT) is a life-threatening complication in patients with left ventricular dysfunction. CASE PRESENTATION: A 67-year-old man had a history of penetrating myocardial infarction and left ventricular aneurysm (LVA). The patient was scheduled for a non-cardiac surgery and stopped aspirin for 10 days to reduce the risk of bleeding. Fresh LVMT was revealed via the transesophageal echocardiography (TEE) after the preoperative discontinuation of aspirin. CONCLUSIONS: Perioperative repeated evaluation for the thrombosis by echocardiography is essential in cases of patients with cardiovascular disease undergoing non-cardiac surgery. In high risk patient, during temporary interruption of antiplatelets, bridging with perioperative low-molecular-weight heparin is advisable.
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spelling pubmed-74279322020-08-17 Discontinuation of aspirin before non-cardiac surgery causing ventricular mural thrombus for a patient with left ventricular aneurysm: a case report Huang, Linger Wang, Kaili Zhu, Shaojun Wang, Kuirong Zhou, Yanfeng BMC Cardiovasc Disord Case Report BACKGROUND: Left ventricular mural thrombus (LVMT) is a life-threatening complication in patients with left ventricular dysfunction. CASE PRESENTATION: A 67-year-old man had a history of penetrating myocardial infarction and left ventricular aneurysm (LVA). The patient was scheduled for a non-cardiac surgery and stopped aspirin for 10 days to reduce the risk of bleeding. Fresh LVMT was revealed via the transesophageal echocardiography (TEE) after the preoperative discontinuation of aspirin. CONCLUSIONS: Perioperative repeated evaluation for the thrombosis by echocardiography is essential in cases of patients with cardiovascular disease undergoing non-cardiac surgery. In high risk patient, during temporary interruption of antiplatelets, bridging with perioperative low-molecular-weight heparin is advisable. BioMed Central 2020-08-14 /pmc/articles/PMC7427932/ /pubmed/32795304 http://dx.doi.org/10.1186/s12872-020-01643-6 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Huang, Linger
Wang, Kaili
Zhu, Shaojun
Wang, Kuirong
Zhou, Yanfeng
Discontinuation of aspirin before non-cardiac surgery causing ventricular mural thrombus for a patient with left ventricular aneurysm: a case report
title Discontinuation of aspirin before non-cardiac surgery causing ventricular mural thrombus for a patient with left ventricular aneurysm: a case report
title_full Discontinuation of aspirin before non-cardiac surgery causing ventricular mural thrombus for a patient with left ventricular aneurysm: a case report
title_fullStr Discontinuation of aspirin before non-cardiac surgery causing ventricular mural thrombus for a patient with left ventricular aneurysm: a case report
title_full_unstemmed Discontinuation of aspirin before non-cardiac surgery causing ventricular mural thrombus for a patient with left ventricular aneurysm: a case report
title_short Discontinuation of aspirin before non-cardiac surgery causing ventricular mural thrombus for a patient with left ventricular aneurysm: a case report
title_sort discontinuation of aspirin before non-cardiac surgery causing ventricular mural thrombus for a patient with left ventricular aneurysm: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7427932/
https://www.ncbi.nlm.nih.gov/pubmed/32795304
http://dx.doi.org/10.1186/s12872-020-01643-6
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