Key result
A patient with left ventricular thrombus experienced dramatic peripheral embolic events soon after an anterior myocardial infarction despite receiving full anticoagulation.
Case Report (n=1)
This case highlights that severe systemic embolization from a left ventricular thrombus can occur after acute myocardial infarction even in the presence of full anticoagulation.
Embolic events despite anticoagulation in post-MI LV thrombus warrant caution; single case leaves open optimal antithrombotic strategies.
Left ventricular thrombus is a common complication after acute myocardial infarction. Although anticoagulant treatment has an established role in reducing the rate of thrombus formation and embolic phenomena during acute myocardial infarction, prior studies showed that left ventricular thrombus and systemic embolization may develop irrespective of adequate anticoagulant therapy. We present a descriptive case of a patient with left ventricular thrombus who experienced dramatic peripheral embolic events soon after the onset of anterior myocardial infarction despite full anticoagulation, and we discuss possible pathogenesis.
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Baravelli et al. (2008) conducted a case report in Left ventricular thrombus after anterior myocardial infarction (n=1). Full anticoagulation was evaluated on Peripheral embolic events. A patient with left ventricular thrombus experienced dramatic peripheral embolic events soon after an anterior myocardial infarction despite receiving full anticoagulation.
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