Transmitral left ventricular thrombectomy using an endoscope in a patient with left ventricular non-compaction
Nishizawa, J.; Aoki, T.; Nishio, H.
Kyobu Geka. Japanese Journal of Thoracic Surgery 66(2): 112-114
2013
ISSN/ISBN: 0021-5252 PMID: 23381356 Document Number: 669963
We report a case of isolated left ventricular non-compaction(LVNC) associated with poor left ventricular function, multiple cerebral infarctions, and a mobile and pedunculated thrombus in the left ventricular apex. LVNC is a rare congenital cardiomyopathy resulting from an arrest in normal endomyocardial embryogenesis. The thrombus and some other small thrombi in the left ventricle were successfully removed through the mitral valve using an endoscope without making a left ventricular incision to preserve cardiac function. Mitral annuloplasty, the maze procedure, and left atrial thrombectomy were also performed. The patient's postoperative course was uneventful. By using an endoscope, details of the left ventricular cavity could be observed, and left ventricular function could be preserved by avoiding ventriculotomy.