Copyright © 1994 by the European Society of Cardiology.
© 1994 The European Society of Cardiology
Biventricular thrombi in dilated cardiomyopathy: massive simultaneous pulmonary and systemic embolisation


*Departments of Cardiology, University Hospital De Pintelaun 185, 9000 Gent, Belgium
Departments of Intensive Care, University Hospital De Pintelaun 185, 9000 Gent, Belgium
Received 27 September 1993; revised 10 January 1994; .
Correspondence: Luc Missault, MD, Department of Cardiology, University Hospital, De Pintelaan 185, 9000 Gent, Belgium.
Abstract
A patient with biventricular thrombus formation in dilated cardiomyopathy suffered massive combined systemic and pulmonary embolization shortly after oral anticoagulation was started. Although this can be coincidental, it can also suggest that the basis of a thrombus may dissolve first with any, including oral, anticoagulation. In unusual conditions surgical removal of thrombi in dilated cardiomyopathy may be a safer alternative.
Key Words: Cardiomyopathy thrombo-embolism