[Left ventricular thrombus--variability of causes and clinical presentation--four case reports]. / Skrzeplina w swietle lewej komory. Róznorodnosc przyczyn i przebiegu klinicznego na podstawie czterech przypadków.

Thrombi occurring in heart chambers, particularly in the left ventricle, are very often due to diseases leading to heart dilation. Thrombi could dissolve spontaneously or as a result of pharmacological treatment. They could also be mobilizes and produce emboli. The risk of emboli vary significantly from low to extremely high due to different morphology and mobility of thrombi. The most effective treatment of thrombi is to cure the underlying disease. Additionally antithrombotic agents or surgical treatment may be applied. In this article 4 cases with different clinical course treated only with drugs are presented.

[Repeat angioplasty of the left anterior descending coronary artery due to restenosis. How many times could we do it?]. / Wielokrotna angioplastyka tetnicy zstepujacej przedniej. Ile razy nalezy poszerzac tetnice z powodu restenozy?

Coronary angioplasty is widely accepted method of myocardium revascularisation. Repeat restenosis is often an indication for surgical treatment. Unfortunately, some patients are not treated surgically for various reasons. This leads to major therapeutic problems. We present a case of a 79-year-old female with repeat angioplasty done 6 times to the left anterior descending artery due to acute coronary syndromes in a 4-year period. The patient did not agree to recommended surgical treatment. We observed gradually deteriorating left ventricular function. The patient finally agreed to surgery, but left ventricle injury added to other clinical problems resulted in disqualification from operation.