Thrombus in the Left Ventricle of a Child With Systemic Emboli: An Unusual Presentation of Hereditary Protein C Deficiency

Matitiau, Abraham MD
Tabachnik, Elvan MD
Sthoeger, Dalia MD
Birk, Einat MD

Department of *Pediatric Cardiology, ‡Pediatric Intensive Care Unit, and §Pediatric Hematology, Kaplan Hospital, Rehovot, Israel 76100 (Matitiau, Tabachnik, Sthoeger)
Department of Cardiology, Schneider Chidren’s Medical Center, Petach Tikva, Israel 49202 (Birk)

Received for publication Feb 25, 2000; accepted Jun 20, 2000.

Address correspondence to Abraham Matitiau, MD, 111 Hagefen St, Asseret, Israel 76858. E-mail: [email protected]

Pediatrics 107(2):p 421-422, February 2001.

ABSTRACT.

We present a case of left ventricular thrombus in a child with a normal functioning left ventricle. The diagnosis was made by 2-dimensional echocardiography after 2 episodes of systemic emboli.

Hereditary protein C deficiency diagnosed in the patient provides the probable pathogenesis of the thrombus formation.

Systemic emboli necessitates cardiac examination, and in cases of unusual thrombi, hereditary or acquired thrombophilic risk factors should be considered.