@article{oai:shiga-med.repo.nii.ac.jp:00000169, author = {八木, 典章 and 山路, 正之 and 伊藤, 英樹 and 山本, 孝 and 浅井, 徹 and 堀江, 稔}, issue = {1}, journal = {滋賀医科大学雑誌}, month = {Mar}, note = {Departmental Bulletin Paper, A 49-year-old male was admitted to our hospital for therapy of congestive heart failure. He underwent echocardiography, which revealed severe systolic dysfunction of left ventricle as dilated cardiomyopathy, while we were unable to detect thrombus in left ventricle on admission. Coagulation values for D-dimer, congenital antithrombin III and protein C were within the normal range. He was treated with continuous infusion of carperitide and furosemide.Though he immediately started to receive both heparin sodium at a dose of 10,000 units/day and warfarin potassium at a dose of 2 mg/day to avoid thrombus after admission, activated partial thromboplastin (APTT) time and prothrombin time-International normalized ratio (PT-INR) failed to be sufficiently prolonged. A few floating thrombi about 2 centimeters in diameter appeared around the apex of the left ventricle when his left ventricle was assessed by echocardiography after only 3 days .Emergency cardiotomy was performed and all thrombi were successfully removed. This is particularly important because thrombi could fall onto the aortic valve, which could lead to sudden death .}, pages = {9--13}, title = {左室内血栓が急性に出現した拡張型心筋症の一例}, volume = {27}, year = {2014} }