The Medical Journal of Basrah University

Abstract

Background: Cardiac thrombus can occur whenever a local pathology favoring stasis of blood within cardiac chambers, however despite extensive clinical studies there is no general agreement as to the best management modality.
Method: We study the outcome of six cases of insitu cardiac thrombus by different treatment methods as surgery, low molecular heparin, or maintained on long period of warfarin
Result: The best result achieved with surgery in cases of cardiac thrombosis with adequate ventricular function, although in the setting of comorbidity, less invasive therapies as with long term treatment with warfarin or heparin therapies is an alternative safe therapeutic approach.
Conclusion: Treatment has to be individualized whether surgery or medical therapy, since many factors contribute to the outcome like ventricular function, treatable or untreatable underlying cause.