Giant mobile left ventricular apical thrombus following silent infarction in a young patient: A case report

Authors

Keywords:

Silent myocardial infarction, Left ventricular thrombus, Embolism risk

Abstract

Today, percutaneous coronary treatment and anticoagulation therapies are commonly used worldwide, which is why the incidence of reported left ventricular (LV) thrombus decreased. Despite modern methods, we still encounter thromboembolic complications resulting in morbidity and mortality in a large number of patients, especially after silent infarctions. Because of high embolism risk, early detection of LV thrombus is crucial. We present the rare and interesting case of a 34-year-old patient diagnosed with a large, fragmented, very mobile left ventricular apical thrombus after silent myocardial infarction due to total occlusion of left anterior descending coronary artery.

Downloads

Download data is not yet available.

References

Tanaka D, Unai S, Diehl JT, Hirose H. Surgical removal of a large mobile left ventricular thrombus via left atriotomy. World Journal of Clinical Cases: WJCC. 2014;2(2):32.

Wu JC, Solomon SD. Long-Term Consequences and Prognosis After Myocardial Infarction. Essential Echocardiography: A Companion to Braunwald's Heart Disease E-Book. 2018:204.

Ates İ, Ulucan S, Kaya Z, Dogru M, Katlandur H, Keser A. Longitudinally Giant Left Ventricular Thrombus after Anterior Wall Myocardial Infarction. Acta Medica Anatolia. 2015;3(4).

Domenicucci S, Chiarella F, Bellone P. Role of echocardiography in the assessment of left ventricular thrombus embolic potential after anterior acute myocardial infarction. Congestive Heart Failure. 2001;7(5):250-5.

Chen C, Webster G, Morganroth J. Large mobile pedunculated left ventricular thrombus: Identification by two-dimensional echocardiography. Clinical Cardiology. 1981;4(4):189-92.

Ye F, Silverstein BV, Khuddus MA, Bray CL, Lee AC. Giant Left Ventricular Thrombus in a Patient with Acute Ischemic Stroke: A Case Report and Minireview. Case Reports in Cardiology. 2018;2018.

Nili M, Deviri E, Jortner R, Strasberg B, Levy MJ. Surgical removal of a mobile, pedunculated left ventricular thrombus: report of 4 cases. The Annals of Thoracic Surgery. 1988;46(4):396-400.

Yalçın M, Katırcıoğlu EG, Yazman S, Tayfur KD, Ürkmez M. Troponin I levels before bypass surgery after acute myocardial infarction; When to operate? J Surg Med. 2018;2(3):228-32.

Downloads

Published

2020-05-01

Issue

Section

Case Report

How to Cite

1.
İnanç İbrahim H, Alıç E, Karakuş A. Giant mobile left ventricular apical thrombus following silent infarction in a young patient: A case report. J Surg Med [Internet]. 2020 May 1 [cited 2024 Nov. 21];4(5):423-5. Available from: https://jsurgmed.com/article/view/673142