Anesthetic Management  of a Patient with Left Ventricular Thrombus Posted for Emergency Laparotomy

Arpita Das

Abstract

Case Study

Anesthetic Management of a Patient with Left Ventricular Thrombus Posted for Emergency Laparotomy

Arpita Das*

Published: 02 April, 2025 | Volume 9 - Issue 1 | Pages: 013-016

Left ventricular thrombus (LVT) is a life threatening complication following acute coronary syndromes but in modern era its incidence has reduced since the introduction of primary percutaneous intervention. LVT is associated with higher morbidity and mortality due to its thromboembolic events and major adverse cardiac events (MACE). This is a case report of 30-year-old male who presented with acute abdomen and left ventricular thrombus. CECT abdomen revealed superior mesenteric artery (SMA) thrombosis and echocardiography revealed severe ventricular dysfunction (ejection fraction, EF<30%) with global hypokinesia and LVT. SMA thrombosis is fatal and if left unattended can lead to intestinal ischemia and gangrene, hence immediate intervention is warranted. This patient had undergone emergency laparotomy under general anesthesia for the resection of gangrenous jejunal segment with mucous fistula . This case report discusses perioperative management considerations in such cases.

Read Full Article HTML DOI: 10.29328/journal.ijcar.1001028 Cite this Article Read Full Article PDF

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