Left Ventricular Thrombus in Old Myocardial Infarction
DOI:
https://doi.org/10.37275/bsm.v6i6.520Keywords:
Left ventricular thrombus, Old myocardial infarctionAbstract
Background. Left ventricular thrombus is a major risk factor for systemic thromboembolism, a complication of acute and chronic myocardial infarction. The high incidence of left ventricular thrombus in untreated acute myocardial infarction patients can be described in the pre-thrombolytic era. Left ventricular thrombus occurred in 7-46% of cases, especially in anterior or apical myocardial infarction.
Case presentation. A 57-year-old man is reported with complaints of shortness of breath and a history of chest pain typical of angina, hypertension, diabetes mellitus, and smoking. On electrocardiographic examination, infrequent premature ventricular contraction and anterior extensive old myocardial infarction were found. Transthoracic echocardiography examination revealed protuberant thrombi at the apex of the left ventricle with a size of 14 x 15 mm, left ventricular ejection fraction of 20%, and akinetic at extensive anterior, anterior, anterolateral, broad apical, inferoseptal, and inferior segments.
Conclusion. Untreated acute myocardial infarction has a high risk of developing left ventricular thrombus. Intravenous unfractional heparin and VKA in left ventricular thrombus patients with an increased risk of embolism respond well.
Authors
- Abdul Alim Rahimi1*
- Akmal Mufriadi Hanif2
- Taufik Rizkian Asir2
- 1Department of Internal Medicine, Faculty of Medicine, Universitas Andalas/Dr. M Djamil General Hospital, Padang, Indonesia
- 2Divison of Cardiovascular, Department of Internal Medicine, Faculty of Medicine, Universitas Andalas/Dr. M Djamil General Hospital, Padang, Indonesia
Corresponding author Abdul Alim Rahimi — abdulalimrahimi@yahoo.com
Article history
- Submitted
- Accepted
- Published
Downloads
Published
Issue
Section
License
Copyright and licensing
Copyright in each article remains with the author(s). Authors grant Bioscientia Medicina: Journal of Biomedicine and Translational Research a non-exclusive right of first publication and the right to identify itself as the original publisher. No exclusive transfer of copyright is required.
All articles are published under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (CC BY-NC-SA 4.0): https://creativecommons.org/licenses/by-nc-sa/4.0/. Users may copy, redistribute, remix, transform, and build upon the material for non-commercial purposes, provided appropriate attribution is given, a link to the license is supplied, changes are indicated, and adaptations are distributed under the same license.
The license applies to the article's scholarly content unless a credit line states otherwise. Third-party material may be subject to separate rights. Authors retain patent, trademark, moral, and research-data rights. The copyright year follows the article's publication date.
