ABSTRACT
We report the case of a 29-years-old male presenting with a large mass inserted at the hypokinetic apex of the left ventricle. Without any early regression under anticoagulant therapy and taking into account recent neurological manifestations, surgical extraction was decided. The mass corresponded to a chronic thrombus lying on a non-transmural myocardial necrosis. This case gives us the opportunity to review all causes of intracardiac masses.
Subject(s)
Heart Ventricles/pathology , Myocardial Infarction/pathology , Thrombosis/pathology , Adult , Anticoagulants/therapeutic use , Humans , Male , Myocardial Infarction/complications , Myocardium/pathology , Necrosis , Thrombosis/etiology , Thrombosis/surgeryABSTRACT
Acute cardiogenic pulmonary oedema frequently occurs in clinical practice, frequently in an old patient. It consists in acute respiratory distress related to rapid development of transsudative fluid within the lung interstitium and alveolar accumulation. It requires rapid assessment and therapy to prevent progression to respiratory failure and cardiovascular collapse. The pathogenesis and identification of the underlying disease process are essential for optimal medical approach. The aetiology is multiple.
