Cardiac thrombi in children: A report of ten cases

Özet

1991-1997yillan arasmda bagvuran ve ekokardiogrdfi He tanisi konulup izlenen 10 kalp ici trombuslu gocuk sunulmaktadir. Trombusler beg hastada sol ventrikulde, iki hastada sag ventrikulde, birer hastada sol atrium ve sag atriumda yer almakta idi. Bir hastada her iki ventrikulde de trombus mevcuttur. Hastalann sepsise bag- h gegiciprotein Ceksikligi, konjenital antitrombin III eksikligi gibi degi§ikpredispozanfaktorleri mevcuttur. fo- cuklarda trombus olu§umunda bircok etyolojik faktor yer almaktadtr ve tedaviye cevap en iyi ekokardiografi He izlenebilmektedir.

Abstract

Ten children with intracardiac thrombi diagnosed and monitored by echocardiography who admitted betwe¬en 1991-1997 are presented. Thrombi were localized in left ventricle in five patients, in right ventricle in two patients, in left atrium in one patient and in right atrium in one. One patient had thrombi in both ventricles. The patients had different underlying illness and predisposing factors including temporary Protein C deficiency due to sepsis and congenital Antithrombin III deficiency. Many different etiologic factors may play role in int¬racardiac thrombus formation in children and the response to treatment can best be monitored by echocardi¬ography.