DR. MOHAMMED AL-MARWALHDR. ABEER ALSALABADR. AREEJ AL-JABALI
DR.RWA'A YASSENDR.ABDULAZIZ AONALLAH
DCMP complicated by LV thrombus
Case presentation: DCMP complicated by LV thrombus
32 male patient, not known to have DM nor HTN, ex-smoker but he is Qat chewer , pt gave history of major stress 2 months ago there is no hx. Of cardiovascular diseases in his familypatient was presented to the ER complaining of atypical chest pain burning in nature associated with lower limbs edema which was progressive in course and abdominal distention
DCMP complicated by LV thrombus
on Examination patient was conscious oriented looks ill not pale, not cyanosed, not jaundiced there was mild lower limb edemaC.V.S=S1+S2+0Chest= mild basal crepitation on RT side.,Abdomen= soft
DCMP complicated by LV thrombus
investigationsCBC,RFT,LFT were within normal cardiac enzymes normal ECG showed= sinus rhythm, Lt. axis deviation Lt. arterial enlargement, poor R wave progression In anterior leadsLVH with strain pattern by voltage criteria
DCMP complicated by LV thrombus
ECHO=
DCMP complicated by LV thrombus
ECHO=
DCMP complicated by LV thrombus
ECHO=global hypocontractility moderate LV impairment very large mural fresh mobile Thrombus
occupying more than 60% of the left ventricle cavity
moderate MR, Mild TR
DCMP complicated by LV thrombus
Diagnosis: DCMP complicated by LV thrombus.
The plan of management of this patient were anticoagulant and anti heart failure treatment
DCMP complicated by LV thrombus
AFTER MANAGEMENT :
Picture of the thrombus after the management
AFTER MANAGEMENT :
AFTER MANAGEMENT :
AFTER MANAGEMENT :
Dr.Mohammed ALMarwala