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DCMP complicated by LV thrombus

DCMP complicated by LV thrombus. Dr. Mohammed Al- Marwalh Dr. Abeer AlSalaba Dr. Areej Al- Jabali Dr.Rwa'a Yassen Dr.Abdulaziz Aonallah. Case presentation: DCMP complicated by LV thrombus.

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DCMP complicated by LV thrombus

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  1. DCMP complicated by LV thrombus Dr. Mohammed Al-MarwalhDr. AbeerAlSalabaDr. Areej Al-JabaliDr.Rwa'aYassenDr.AbdulazizAonallah

  2. 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

  3. DCMP complicated by LV thrombus • on Examinationpatient 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

  4. 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

  5. DCMP complicated by LV thrombus • ECHO=

  6. DCMP complicated by LV thrombus • ECHO=

  7. 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

  8. 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

  9. DCMP complicated by LV thrombus • AFTER MANAGEMENT : Picture of the thrombus after the management

  10. AFTER MANAGEMENT :

  11. AFTER MANAGEMENT :

  12. AFTER MANAGEMENT :

  13. Dr.MohammedALMarwala

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