The Turkish Journal of Pediatrics 2015 , Vol 57 , Num 2
Cardiac Thrombus Developing After an Accidental High-Voltage Electric Shock in a Child
Divisions of 1Pediatric Cardiology and 2Pediatric Intensive Care, Department of Pediatrics and 3Department of Cardiovascular Surgery, Dicle University Faculty of Medicine, Diyarbakır, Turkey.
Electric shock is a condition that may affect various organ systems and potentially cause death. Cardiac findings vary from asymptomatic mild injury to fatal myocardial involvement. Herein we present a five-year-old boy with a cardiac thrombus developing after an accidental electrical shock. Cardiac arrhythmias and evidence of ischemia have been reported after electric shock; we were, however, unable to identify an earlier case report of intracardiac thrombosis related to electric shock. Findings such as elevated cardiac enzymes and systolic dysfunction, which indicate myocardial damage following electric shock, were present in our patient. We think that the cardiac thrombus might have resulted from the myocardial damage and the slowed intracardiac blood flow related to systolic dysfunction. As the thrombus was thought to have been formed through known mechanisms, it was treated traditionally. However, further data regarding the etiology and management of such thrombi is needed. Keywords : electric shock, cardiac thrombus, child.
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