Hypereosinophilic syndrome with large intracardiac thrombus

Lee, Kian-Guan; Chuah, Matthew Bingfeng; Tang, Hak-Chiaw; Chua, Terrance

doi:10.11622/smedj.2014109

Cited by 6 publications

(2 citation statements)

References 5 publications

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“…Left ventricular (LV) thrombus most commonly occur after myocardial infarction, particularly in cases of large anterior STEMI in the distribution of the left anterior descending coronary artery; however, hypereosinophilia remains an important cause documented in various case reports . Anteroapical infarcts result in poor contraction of the LV muscle and stasis of intracavitary blood flow.…”

Section: Intracardiac Thrombimentioning

confidence: 99%

“…Regarding hypereosinophilic syndrome with cardiac involvement, corticosteroids are considered first‐line therapy, aiming to reduce peripheral and tissue levels of eosinophils, and prevent end‐organ damage, while anticoagulation may be used in the presence of ventricular thrombi. The duration of anticoagulation therapy is determined by the ongoing presence of ventricular thrombi.…”

Section: Intracardiac Thrombimentioning

confidence: 99%

See 1 more Smart Citation

Arterial thrombosis in unusual sites: A practical review

O’Donnell

Shatzel

Olson

et al. 2018

European J of Haematology

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While common forms of arterial disease such as stroke and myocardial infarction are well studied and appropriate treatment algorithms are well described, occasionally, practitioners will encounter patients with thrombosis in other arteries; the cause and treatment of which is not entirely obvious or well studied. In this section, we will review the current data on arterial thrombosis, describing anatomic sources and hypercoagulable associations, and outline the epidemiology, pathophysiology, clinical presentation, etiology, and treatment of intracardiac thrombus, primary aortic mural thrombus, visceral infarctions, and cryptogenic limb ischemia. (Table 1). | ARTERIAL THROMBOS IS-ANATOMIC CONS IDER ATIONSArterial thrombosis most often occurs in association with atherosclerosis. In cryptogenic cases, arterial thrombosis may result from an anatomic source, the most common of which is cardioembolic, such as intracardiac thrombus, atrial appendage thrombus, patent foramen ovale with paradoxical embolus, and valvular vegetation.The minimal workup we consider in truly cryptogenic cases is assessment for a cardioembolic source ( Figure 1) including a transthoracic echocardiogram in conjunction with injection of agitated saline contrast and color Doppler imaging in order to detect a patent foramen ovale. Due to the unique nature of intracardiac thrombi and primary aortic mural thrombi, the following sections will outline the epidemiology, etiology, and management of these entities. | INTR AC ARD IAC THROMB ILeft ventricular (LV) thrombus most commonly occur after myocar- K E Y W O R D Sarterial thrombosis, coagulation disorder, hypercoagulable, infarction

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Section: Intracardiac Thrombimentioning

confidence: 99%

Section: Intracardiac Thrombimentioning

confidence: 99%