Left Ventricular Thrombosis in a Young Ulcerative Colitis Patient: Review with a Case Report

Willner, Nadav; Schiff, Elad; Goitein, Orly; Rainis, Tova

doi:10.12890/2015_000268

Cited by 1 publication

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“…LV thrombus formation is extremely rare in IBD patients. On reviewing the literature, we only found five such cases in those with UC[ 8 9 10 11 12 ] and three in those with Crohn's disease. [ 13 14 ] Chin et al .…”

Section: Discussionmentioning

confidence: 99%

“…[ 7 ] The corresponding figures for the ambulatory patients were 6.4 and 0.4/1000 person-years, respectively. Unlike VTE, intracardiac thrombus formation, especially on the left side, with systemic embolism is exceedingly rare, with only five such cases having been reported in patients with ulcerative colitis (UC)[ 8 9 10 11 12 ] and three in patients with Crohn's disease. [ 13 14 ] We report here a case of a young female who presented with a cardioembolic stroke due to UC.…”

Section: Introductionmentioning

confidence: 99%

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Left Ventricular Thrombus and Cardioembolic Stroke in a Patient with Ulcerative Colitis

Grewal

Bansal

Garg

et al. 2021

Saudi Journal of Medicine &Amp; Medical Sciences

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Left ventricular (LV) thrombi usually occur in the setting of global or regional LV systolic dysfunction and are extremely rare in the absence of LV wall motion abnormalities. We report here a case of a 23-year-old female who presented with cardioembolic stroke due to ulcerative colitis. To determine the cause of stroke, several investigations and evaluations were carried out, but the results were mostly normal or unremarkable. Transthoracic echocardiography revealed an oscillating pedunculated globular mass, which was eventually resected due to recurrent transient ischemic attacks. The histopathology of the excised mass revealed it to be an organized thrombus with acute and chronic inflammatory cells and fibroblasts. The uncommon etiology combined with the unusual appearance of the thrombus presented a major diagnostic and therapeutic dilemma for this exceedingly rare cause for intracardiac thrombus formation. Therefore, it would be useful to have a low threshold for screening patients with active inflammatory bowel disease for possible ventricular thrombosis before discharge, especially if other risk factors are present.

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