Increased thrombogenicity and acute embolism are well-recognized complicati
ons of chronic anabolic steroid abuse. The following cases highlight such d
angers in steroid-enhanced bodybuilders who developed intracardiac thrombos
is that subsequently embolized. Systemic anticoagulation and surgical throm
bectomy constituted the mainstay treatment. This represents the first repor
t of such devastating cardiovascular complications after anabolic steroid a
buse and their management. (C) 2000 by The Society of Thoracic Surgeons.