open access

Vol 13, No 2 (2018)
Case report
Published online: 2018-05-30
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Thrombus in the left ventricle in patient after anterior wall myocardial infarction treated with percutaneous coronary intervention and dual antiplatelet therapy

Karolina Misztal, Błażej Michalski, Ewa Szymczyk, Jan Z. Peruga, Piotr Lipiec, Jarosław D. Kasprzak
DOI: 10.5603/FC.2018.0031
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Folia Cardiologica 2018;13(2):166-168.

open access

Vol 13, No 2 (2018)
Case Reports
Published online: 2018-05-30

Abstract

Myocardial infarction is an acute condition which can lead to many complications in a postinfarct period (MI, myocardial infarction). Left ventricular thrombus formation after successful primary percutaneous coronary intervention (PCI) with stenting and treating with dual antiplatelet therapy nowadays is a less common finding especially in absence of severe left ventricular dysfunction associated with MI. Case of 70-year-old male who was admitted to the Emergency Department with severe MI treating with successful primary PCI with stenting and dual antiplatelet therapy with a new unexpected finding of thrombus in the left ventricular apex observed in control of the echocardiography examination during hospitalisation despite dual antiplatelet therapy.

Abstract

Myocardial infarction is an acute condition which can lead to many complications in a postinfarct period (MI, myocardial infarction). Left ventricular thrombus formation after successful primary percutaneous coronary intervention (PCI) with stenting and treating with dual antiplatelet therapy nowadays is a less common finding especially in absence of severe left ventricular dysfunction associated with MI. Case of 70-year-old male who was admitted to the Emergency Department with severe MI treating with successful primary PCI with stenting and dual antiplatelet therapy with a new unexpected finding of thrombus in the left ventricular apex observed in control of the echocardiography examination during hospitalisation despite dual antiplatelet therapy.
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Keywords

DAPT, myocardial infarction, left ventricular thrombus, echocardiography

About this article
Title

Thrombus in the left ventricle in patient after anterior wall myocardial infarction treated with percutaneous coronary intervention and dual antiplatelet therapy

Journal

Folia Cardiologica

Issue

Vol 13, No 2 (2018)

Article type

Case report

Pages

166-168

Published online

2018-05-30

DOI

10.5603/FC.2018.0031

Bibliographic record

Folia Cardiologica 2018;13(2):166-168.

Keywords

DAPT
myocardial infarction
left ventricular thrombus
echocardiography

Authors

Karolina Misztal
Błażej Michalski
Ewa Szymczyk
Jan Z. Peruga
Piotr Lipiec
Jarosław D. Kasprzak

References (6)
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  2. Stokman PJ, Nandra CS, Asinger RW. Left Ventricular Thrombus. Curr Treat Options Cardiovasc Med. 2001; 3(6): 515–521.
  3. Delewi R, Nijveldt R, Hirsch A, et al. Left ventricular thrombus formation after acute myocardial infarction as assessed by cardiovascular magnetic resonance imaging. Eur J Radiol. 2012; 81(12): 3900–3904.
  4. Visser CA, Kan G, Lie KI, et al. Left ventricular thrombus following acute myocardial infarction: a prospective serial echocardiographic study of 96 patients. Eur Heart J. 1983; 4(5): 333–337.
  5. Delewi R, Zijlstra F, Piek JJ. Left ventricular thrombus formation after acute myocardial infarction. Heart. 2012; 98(23): 1743–1749.
  6. Solheim S, Seljeflot I, Lunde K, et al. Prothrombotic markers in patients with acute myocardial infarction and left ventricular thrombus formation treated with pci and dual antiplatelet therapy. Thromb J. 2013; 11(1): 1.

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