Multiple left ventricular thrombi in a patient with dilated cardiomyopathy and cerebral infarction: a case report.

INTRODUCTION

It is not clear whether patients with sinus rhythm and reduced left ventricular function should be treated with anticoagulation therapy during or after treatment for heart failure.

CASE PRESENTATION: A 67-year-old Japanese man was hospitalized at our institution with heart failure due to dilated cardiomyopathy. On day after discharge, he developed cerebral infarction and showed persistence of multiple left ventricular thrombi. His paralysis completely improved at 2 days after edaravone and heparin administration; however, his left visual field defect persisted.

CONCLUSION

Patients in sinus rhythm with reduced left ventricular function might benefit from anticoagulation therapy during treatment for heart failure.