A Giant Left Ventricular Thrombus in a Patient with Acute Myocardial Infarction: A Case Report

The authors report a patient with acute anteroseptal myocardial infarction with a giant left ventricular thrombus at the apex. The patient also had nephrotic syndrome due to diabetic nephropathy. Coronary angiography showed 90% stenosis at segment 6 of the left anterior descending coronary artery. P...

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Bibliographic Details
Published in:Angiology 2001-06, Vol.52 (6), p.429-432
Main Authors: Hirano, Hajime, Takao, Makiko, Nomoto, Junko, Matsunaga, Akira, Tsuchiya, Yoshihiro, Ideishi, Munehito, Saku, Keijiro
Format: Article
Language:English
Subjects:
Angioplasty, Balloon, Coronary - methods
Biological and medical sciences
Cardiology. Vascular system
Combined Modality Therapy
Coronary Angiography
Coronary heart disease
Echocardiography
Follow-Up Studies
Heart
Heart Ventricles
Heparin - administration & dosage
Humans
Injections, Intravenous
Male
Medical sciences
Middle Aged
Myocardial Infarction - complications
Myocardial Infarction - diagnosis
Myocardial Infarction - therapy
Severity of Illness Index
Stents
Thrombosis - complications
Thrombosis - diagnosis
Thrombosis - therapy
Treatment Outcome
Warfarin - administration & dosage
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Summary:The authors report a patient with acute anteroseptal myocardial infarction with a giant left ventricular thrombus at the apex. The patient also had nephrotic syndrome due to diabetic nephropathy. Coronary angiography showed 90% stenosis at segment 6 of the left anterior descending coronary artery. Percutaneous transluminal coronary angioplasty and intracoro nary stenting were performed on the 30th day, and effective coronary blood flow was obtained. Heparin was injected intravenously for the first 7 days, and warfarin was administered there after. The left ventricular thrombus disappeared after 46 days. No evidence of arterial throm boembolism was found during the disappearance of the left ventricular thrombus as deter mined by echocardiography.
ISSN:0003-3197
1940-1574
DOI:10.1177/000331970105200610