Left Ventricle Pedunculated Thrombi Risks and Outcomes: A Case Report
and Systematic Review
We report a case of a 42-year-old male with cardiomyopathy and acute
bilateral femoral artery embolization. Following bilateral femoral
artery embolectomy and fasciotomy, transthoracic echocardiography
revealed a pedunculated highly mobile left ventricle (LV) thrombus.
Surgical removal of the thrombi was not recommended for the procedural
risk; consequently, anticoagulation therapy was recommenced.
Unfortunately for the patient, the bleeding risk impeded the
continuation of anticoagulation, which resulted in an increase in the
thrombus size. The patient shortly developed multiorgan failure and
possibly disseminated intravascular coagulopathy (DIC) and died. Besides
this case, we have systematically reviewed the PubMed and Scopus
databases for all the previously reported pedunculated thrombus/ thrombi