A 40-year-old man with Crohn’s disease was found to have recurrence of a large left ventricular mass on echocardiography during workup for stricturoplasty. He presented with left limb emboli. He had been diagnosed with a left ventricular thrombus 2 years earlier, with multiple cerebral and peripheral emboli, and underwent surgery. We carried out redo surgery, and histology revealed organized thrombus. We discuss the management of this complex case.
YadavaOPYadavSJunejaSChopraVKPasseyRGhadiokR. Left ventricular thrombus sans overt cardiac pathology. Ann Thorac Surg2003; 76: 623–625.
2.
SalehT. Left ventricular thrombosis in ulcerative colitis. Case Rep Gastroenterol2010; 4: 220–223.
3.
TotoASParameswaranRKotlerMNParryW. Rapid development of left ventricular thrombus in a patient with myeloproliferative disorder. Am Heart J1987; 114: 436–437.
4.
DeGroatTSParameswaranRPopperPMKotlerMN. Left ventricular thrombi in association with normal left ventricular wall motion in patients with malignancy. Am J Cardiol1985; 56: 827–828.
5.
ChinWWVan ToshAHechtSRBergerM. Left ventricular thrombus with normal left ventricular function in ulcerative colitis. Am Heart J1988; 116: 562–563.
6.
VecchiMCattaneoMde FranchisRMannucciPM. Risk of thromboembolic complications in patients with inflammatory bowel disease. Study of hemostasis measurements. Int J Clin Lab Res1991; 21: 165–170.
7.
RahmanMThekkudanJIonescuAAshrafS. Spontaneous right atrial thrombus in a patient with Crohn’s disease: an unusual right atrial mass. Interact Cardiovasc Thoracic Surg2005; 5: 664–666.
