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