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Ann Thorac Surg 2000;70:658-660
© 2000 The Society of Thoracic Surgeons

Case report

Ventricular thrombosis and systemic embolism in bodybuilders: etiology and management

Kathryn McCarthy, MB, BSa, Augustine T.M. Tang, FRCSa, Malcolm J.R. Dalrymple-Hay, FRCSa, Marcus P. Haw, FRCSa

a Department of Cardiac Surgery, Wessex Cardiac & Thoracic Unit, Southampton General Hospital, Southampton, United Kingdom

Address reprint requests to Dr Tang, Department of Cardiac Surgery, Wessex Cardiac & Thoracic Unit, Southampton General Hospital, Tremona Rd, Southampton SO16 6YD, United Kingdom
e-mail: gustmtang{at}aol.com

Increased thrombogenicity and acute embolism are well-recognized complications of chronic anabolic steroid abuse. The following cases highlight such dangers in steroid-enhanced bodybuilders who developed intracardiac thrombosis that subsequently embolized. Systemic anticoagulation and surgical thrombectomy constituted the mainstay treatment. This represents the first report of such devastating cardiovascular complications after anabolic steroid abuse and their management.




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