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PEDIATRICS Vol. 107 No. 2 February 2001, pp. 421-422

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

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

Abraham Matitiau*

Elvan TabachnikDagger

Dalia Sthoeger

Department of * Pediatric Cardiology, Dagger  Pediatric Intensive Care Unit, and § Pediatric Hematology Kaplan Hospital Rehovot, Israel 76100

Einat Birk

Department of Cardiology Schneider Chidren's Medical Center Petach Tikva, Israel 49202

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.

 Key words:  left ventricular thrombus, protein C deficiency, child.


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