Left Ventricular Thrombosis in Ulcerative Colitis

Abstract

Left ventricular thrombi usually occur in the setting of an acute myocardial infarction, left ventricular aneurysm, or dilated cardiomyopathy. In the absence of ventricular wall motion abnormalities, they are rare. This report describes a patient with ulcerative colitis in whom two-dimensional echocardiography revealed a left intraventricular mass. Thrombosis in ulcerative colitis is a serious condition and can occur in a very young population. This case also shows that left ventricular thrombi can occur in the active setting of ulcerative colitis.

Acute myocardial infarction in a young woman with ulcerative colitis

“…But the cause of MI was left ventricular thrombosis and there was no coronary atherosclerosis observed. [ 19 , 20 ] Another young man was diagnosed of atherogenic MI after a recent flare of UC and enteropathic arthritis. [ 12 ]…”

Spontaneous ventricular thrombosis in patients with inflammatory bowel disease

“…9 More than half of the thrombotic events occur during an exacerbation of inflammatory bowel disease. 11 In parallel with this, the risk for thrombosis correlates with the disease activity of inflammatory bowel disease. 12 Cases of spontaneous ventricular thrombosis also have been reported in patients with inflammatory bowel disease in the age range of 28-42 years.…”

“…12 Cases of spontaneous ventricular thrombosis also have been reported in patients with inflammatory bowel disease in the age range of 28-42 years. [11][12][13][14][15][16] In all cases, the patients were asymptomatic, and ventricular thrombosis was detected as an incidental finding during an acute flare-up of inflammatory bowel disease. Except for one instance of right ventricular thrombosis, all other cases of ventricular thrombosis developed in the left ventricle.…”

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

“…Chin et al reported a left ventricular thrombus with systemic emboli in a patient with ulcerative colitis and cocaine abuse [3] . Another report of left ventricular thrombus manifested with additional neurological symptoms [4] . Finally, Urgesi et al described a case of a young woman affected by protein C deficiency, who, during a clinical recurrence of ulcerative colitis, developed a spontaneous right ventricular thrombus and pulmonary embolism [1] .…”