Published on:
    Journal of Cardiovascular Disease Research, 2012; 3(4):326-328
    CLINICAL CASE REPORT BASED STUDY | doi:10.4103/0975-3583.102724

    Vascular purpura revealing a severe dilated cardiomyopathy with left ventricular apical thrombus

    Authors:

    Aurélien Seemann1, Nicolas De Prost1, Marie-Thérèse Paoletti2, Emilie Sbidian3, Christian Brun-Buisson1, Laurence Valeyrie-Allanore3

    1Service de Réanimation médicale,

    2Service d’anatomo-pathologie,

    3Service de Dermatologie, Assistance Publique – Hôpitaux de Paris, Hôpital Henri Mondor, Créteil, France.

    Abstract:

    We present a case of vascular purpura revealing an intra-cardiac left-sided thrombus complicating an end-stage dilated cardiomyopathy. Vascular purpura main etiologies encompass the wide spectrum of vasculitides and microvascularocclusion syndromes. Among them, cardiac embolism represents an unusual but potentially severe etiology.

    Key words: Cardiogenic shock, cardiomyopathy, dilated, leukocytoclastic, purpura, vasculitis.