Hostname: page-component-586b7cd67f-t7czq Total loading time: 0 Render date: 2024-11-26T19:05:49.787Z Has data issue: false hasContentIssue false
  • English
  • Français

Silent in situ thrombus within a hypoplastic left ventricle in a teenager with Fontan palliation

Published online by Cambridge University Press:  09 June 2020

Daiji Takajo Open the ORCID record for Daiji Takajo [Opens in a new window] ,
Chenni S. Sriram  and
Sanjeev Aggarwal
Daiji Takajo*
Affiliation:
Department of Pediatrics, Children’s Hospital of Michigan, Detroit, MI, USA
Chenni S. Sriram
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, Children’s Hospital of Michigan, Wayne State University, Detroit, MI, USA
Sanjeev Aggarwal
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, Children’s Hospital of Michigan, Wayne State University, Detroit, MI, USA
*
Author for correspondence: Daiji Takajo, MD, Children’s Hospital of Michigan, 3901 Beaubien Boulevard, Detroit, MI48201, USA. Tel: +1 (313) 745-1892; Fax: +1 (313) 993-7118. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Thrombosis, especially in the Fontan pathway, is one of the major concerns in patients who underwent Fontan surgery, with reported prevalence of 5–33%. We report a case of thrombus in a rudimentary left ventricle in teenager with no arrhythmia or neurological complications. We also report the special concerns of silent thrombus and role of cardiac MRI in diagnosing an intracardiac thrombus.

Keywords

Fontan palliationthrombushypoplastic left heart syndromecardiac MRI
Type
Brief Report
Information
Cardiology in the Young , Volume 30 , Issue 8 , August 2020 , pp. 1175 - 1177
Copyright
© The Author(s), 2020. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Egbe, AC, Connolly, HM, Niaz, T, et al.Prevalence and outcome of thrombotic and embolic complications in adults after Fontan operation. Am Heart J 2017; 183: 10–17. doi: 10.1016/j.ahj.2016.09.014CrossRefGoogle ScholarPubMed
Lee, SY, Baek, JS, Kim, GB, et al.Clinical significance of thrombosis in an intracardiac blind pouch after a Fontan operation. Pediatr Cardiol 2012; 33: 42–48.CrossRefGoogle Scholar
Rosenthal, DN, Friedman, AH, Kleinman, CS, et al.Thromboembolic complications after Fontan operations. Circulation 1995; 92: 287–293. doi: 10.1161/01.CIR.92.9.287CrossRefGoogle ScholarPubMed
Coon, PD, Rychik, J, Novelle, RT, et al.Thrombus formation after the Fontan operation. Ann Thorac Surg 2001; 71: 1990–1994.CrossRefGoogle ScholarPubMed
Srichai, MB, Junor, C, Rodriguez, LL, et al.Clinical, imaging, and pathological characteristics of left ventricular thrombus: a comparison of contrast-enhanced magnetic resonance imaging, transthoracic echocardiography, and transesophageal echocardiography with surgical or pathological validation. Am Heart J 2006; 152: 75–84.CrossRefGoogle ScholarPubMed
Slonimsky, E, Konen, O, Di Segni, E, et al.Cardiac MRI: a useful tool for differentiating cardiac thrombi from tumors. Isr Med Assoc J 2018; 20: 472–475. http://www.ncbi.nlm.nih.gov/pubmed/30084570Google ScholarPubMed
Hoey, ETD, Mankad, K, Al-Chalabi, H, et al.The emerging role of cardiovascular MRI for suspected cardioembolic stroke. Clin Radiol 2013; 68: 107–116. doi: 10.1016/j.crad.2012.07.003CrossRefGoogle ScholarPubMed