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Ann Thorac Surg 1998;66:248-250
© 1998 The Society of Thoracic Surgeons
a Division of Cardiovascular Surgery, Miami Children’s Hospital, Miami, Florida, USA
b Department of Cardiology, Miami Children’s Hospital, Miami, Florida, USA
c Division of Thoracic and Cardiovascular Surgery, All Children’s Hospital, St. Petersburg, Florida, USA
Accepted for publication January 28, 1998.
Address reprint requests to Dr Burke, Division of Cardiovascular Surgery, Miami Children’s Hospital, 3200 SW 60 Court, Suite 102, Miami, FL 33155-4069
Left ventricular thrombus is a complication of myocardial infarction, ventricular aneurysm, cardiomyopathy, and myocarditis. Left ventriculotomy has been the standard approach for removal of left ventricular thrombus. This approach has produced an unacceptable incidence of ventricular dysfunction, arrhythmias, and aneurysm formation. We describe a case of left ventricular thrombus with systemic embolization in a patient with myocarditis. Video-assisted cardioscopy allowed visualization and removal of the thrombus via an aortotomy, thereby avoiding a left ventriculotomy.
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