Key result
A 65-year-old man developed sequential thromboembolic events, including a TIA, an apical left ventricular thrombus, and superior mesenteric artery embolism, following primary PCI for an acute anterior MI.
Case Report (n=1)
This case illustrates the potential for severe, sequential systemic thromboembolic complications following acute anterior myocardial infarction even with unfractionated heparin therapy.
Supports heightened vigilance for thromboembolism after anterior MI despite heparin; leaves open optimal antithrombotic strategies.
A 65 year old man was transferred to our cath lab for primary PCI about two hours after the onset of pain in the context of acute, anterior myocardial infarction. Thrombus aspiration of the proximal LAD and balloon angioplasty with a DES implantation were performed. After a few days, although the patient was under treatment with unfractioned heparin, he sustained a transient ischemic attack. The echocardiographic study revealed a large, mobile, protruding thrombus in the apex. Four days later, the patient complained of mild abdominal pain with a gradual deterioration. Abdominal CT scan revealed embolism of the superior mesenteric artery and urgent embolectomy was scheduled.
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Aggeli et al. (2012) conducted a case report in Acute anterior myocardial infarction (n=1). Primary PCI (thrombus aspiration and DES implantation) was evaluated on Sequential thromboembolic events (TIA, LV thrombus, superior mesenteric artery embolism). A 65-year-old man developed sequential thromboembolic events, including a TIA, an apical left ventricular thrombus, and superior mesenteric artery embolism, following primary PCI for an acute anterior MI.
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