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CJC Open. 2021 Jan;3(1):124-126. doi: 10.1016/j.cjco.2020.09.014. Epub 2020 Sep 22.

Left Ventricular Thrombus With COVID-19 Complication in a Patient With Dilated Cardiomyopathy.

CJC open

Shohei Imaeda, Hiroki Kabata, Yasuyuki Shiraishi, Hirofumi Kamata, Hikaru Tsuruta, Shinsuke Yuasa, Makoto Ishii, Keiichi Fukuda, Koichi Fukunaga

Affiliations

  1. Department of Cardiology, Keio University School of Medicine, Tokyo, Japan.
  2. Division of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.

PMID: 32984799 PMCID: PMC7508168 DOI: 10.1016/j.cjco.2020.09.014

Abstract

Thrombosis, especially venous thromboembolism, is a complication often associated with coronavirus disease 2019 (COVID-19). However, there have been relatively few reports of arterial thrombosis. Here, we describe a case of non-severe COVID-19 in a patient with dilated cardiomyopathy. After admission, symptoms, laboratory data, and imaging findings improved, but D-dimer levels gradually increased. Contrast computed tomography and echocardiography revealed a left ventricular thrombus. Anticoagulant treatment diminished the thrombus, and the patient recovered and was discharged. Although a left ventricular thrombus is a rare COVID-19 complication, performing appropriate diagnostic tests could improve COVID-19 mortality in patients with dilated cardiomyopathy.

© 2020 Canadian Cardiovascular Society. Published by Elsevier Inc.

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