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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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
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author Barfuss, Spencer B.
Truong, Dongngan T.
James, Karen E.
Inman, Christi J.
Husain, S. Adil
Williams, Richard V.
Minich, L. LuAnn
Mart, Christopher R.
author_facet Barfuss, Spencer B.
Truong, Dongngan T.
James, Karen E.
Inman, Christi J.
Husain, S. Adil
Williams, Richard V.
Minich, L. LuAnn
Mart, Christopher R.
author_sort Barfuss, Spencer B.
collection PubMed
description 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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spelling pubmed-92800992022-07-15 Left ventricular thrombus in the multisystem inflammatory syndrome in children associated with COVID-19 Barfuss, Spencer B. Truong, Dongngan T. James, Karen E. Inman, Christi J. Husain, S. Adil Williams, Richard V. Minich, L. LuAnn Mart, Christopher R. Ann Pediatr Cardiol Case Report 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. Wolters Kluwer - Medknow 2022 2022-06-14 /pmc/articles/PMC9280099/ /pubmed/35847408 http://dx.doi.org/10.4103/apc.apc_82_21 Text en Copyright: © 2022 Annals of Pediatric Cardiology https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Barfuss, Spencer B.
Truong, Dongngan T.
James, Karen E.
Inman, Christi J.
Husain, S. Adil
Williams, Richard V.
Minich, L. LuAnn
Mart, Christopher R.
Left ventricular thrombus in the multisystem inflammatory syndrome in children associated with COVID-19
title Left ventricular thrombus in the multisystem inflammatory syndrome in children associated with COVID-19
title_full Left ventricular thrombus in the multisystem inflammatory syndrome in children associated with COVID-19
title_fullStr Left ventricular thrombus in the multisystem inflammatory syndrome in children associated with COVID-19
title_full_unstemmed Left ventricular thrombus in the multisystem inflammatory syndrome in children associated with COVID-19
title_short Left ventricular thrombus in the multisystem inflammatory syndrome in children associated with COVID-19
title_sort left ventricular thrombus in the multisystem inflammatory syndrome in children associated with covid-19
topic Case Report
url 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
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