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CASE REPORT article
Front. Cardiovasc. Med.
Sec. Cardiovascular Surgery
Volume 12 - 2025 | doi: 10.3389/fcvm.2025.1530548
This article is part of the Research TopicCase Reports in Heart Surgery: 2024View all 13 articles
Successful treatment of massive biventricular thrombi associated with myocarditis: a case report
Provisionally accepted- Department of Cardiovascular Surgery, Xinqiao Hospital, The Army Medical University, Chongqing, China
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Background: Massive biventricular thrombi associated with myocarditis are rare and pose significant management challenges. Case Presentation: A 24-year-old male from a plateau region presented with dyspnea, chest pain, and cerebral infarction/hemorrhage. Imaging revealed giant biventricular thrombi (left: 81×62×59 mm; right: 59×16 mm) and LVEF of 25%. Management: Multidisciplinary therapy included anticoagulation and GDMT. Outcomes: Complete thrombus resolution occurred by 10 weeks, with improved cardiac function (LVEF 48%) and no recurrent embolism. Conclusion: Drug therapy may be effective for massive biventricular thrombi in myocarditis.
Keywords: Biventricular thrombi, Myocarditis, Cerebral Infarction, Cerebral Hemorrhage, anticoagulation
Received: 19 Nov 2024; Accepted: 08 Apr 2025.
Copyright: © 2025 Liang, Liu, Cao, Li, Wang, Xiao and Ma. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Ruiyan Ma, Department of Cardiovascular Surgery, Xinqiao Hospital, The Army Medical University, Chongqing, China
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