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

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....

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Detalles Bibliográficos
Autores principales: Barfuss, Spencer B., Truong, Dongngan T., James, Karen E., Inman, Christi J., Husain, S. Adil, Williams, Richard V., Minich, L. LuAnn, Mart, Christopher R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9280099/
https://www.ncbi.nlm.nih.gov/pubmed/35847408
http://dx.doi.org/10.4103/apc.apc_82_21
Descripción
Sumario: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.

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