Key result
Multimodality imaging demonstrated utility in the surveillance and management of a case of anterior myocardial infarction complicated by a large left ventricular thrombus.
Why the study?
Despite declining incidence with revascularisation, left ventricular thrombus complicating myocardial infarction remains independently associated with increased morbidity and mortality, requiring imaging surveillance.
Case Report (n=1)
Highlights the value of multimodality imaging in detecting and managing left ventricular thrombus following myocardial infarction.
Multimodality imaging may aid LVT surveillance post-MI; leaves open optimal NOAC versus VKA strategy.
Since the emergence of revascularisation for the treatment of myocardial infarction (MI), the incidence of left ventricular thrombus (LVT) has been declining. However, despite this, it is independently associated with increased morbidity and mortality rates. The mainstay of treatment is vitamin K antagonists, although non-vitamin K antagonists have been shown to be effective. Imaging plays an important role in the surveillance of LVT subsequent to MI. Herein, we emphasise the utility of multimodality imaging of a case of anterior MI complicated by a large LVT, and detail its management.
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Dhlamini et al. (2023) conducted a case report in Anterior myocardial infarction complicated by left ventricular thrombus (n=1). Multimodality imaging was evaluated. Multimodality imaging demonstrated utility in the surveillance and management of a case of anterior myocardial infarction complicated by a large left ventricular thrombus.
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