Successful treatment of a huge thrombus with thrombolytic therapy in a patient with normal left ventricle function and Takayasu arteritis

Türk Kardiyoloji Derneği Arşivi

Murat Çaylı¹  Taner Şeker¹  Ahmet Oytun Baykan¹  Mustafa Gür¹  Abdurrezzak Börekçi² 

[1] Department of Cardiology, Adana Numune Training and Research Hospital, Adana, Turkey;Department of Cardiology, Kafkas University Faculty of Medicine, Kars, Turkey;

关键词: takayasu arteritis/therapy;    thrombosis;    thrombolytic therapy;    ventricle;    left.;   

DOI  :  10.5543/tkda.2014.60687

来源: DOAJ

【 摘 要 】

We report a case of thrombus treated with thrombolytic therapy in a patient with normal cardiac functions and Takayasu arteritis. A 27-year-old man with a history of Takayasu arteritis was admitted to our out-patient clinic with a complaint of both right and left foot pain and weakness. In a Doppler ultrasound examination, a subtotal thrombotic occlusion was found in the bilateral popliteal arteries. A transthoracic echocardiography revealed a left ventricular apical thrombus, although both cardiac functions and heart dimensions were normal. Surgical excision was recommended to avoid further embolization, but this was refused by the patient. We decided to perform thrombolytic treatment. The thrombus in the left ventricle was fully resolved by the third day. Perfusion in both feet also returned to normal.

【 授权许可】

Unknown