Case Report (n=1)
No
Acute myocardial infarction can rarely present as acute lower limb ischemia due to thromboembolism from a left ventricular thrombus, emphasizing the need for early recognition even in young patients with atypical symptoms.
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Alerts clinicians to occult MI in acute limb ischemia; case report leaves open systematic screening studies.
Left ventricular (LV) thrombus is one of myocardial infarction (MI) complications and if the thrombus is mobile and protruding, there is a high risk of embolization. It is exceptionally rare that the presenting serious symptom of acute MI is severe leg pain. We report here a rare case of a 36-year-old Caucasian male patient with unrecognized MI complicated by LV thrombus. His initial visit to the physician was due to sudden onset of severe left leg pain as a consequence of thromboembolism. Medical examination revealed occluded left femoral commune artery and femoral superficial artery, subacute MI and apical LV thrombus, which were treated accordingly. On follow-up, 2 months after hospital discharge, patient affirmed that he has been walking for approximately 3 km every day, without leg cramps or angina. Early recognition of MI, even when presented with atypical symptoms in young individuals and its prompt treatment is important to improve survival, as well as to reduce thrombotic events. J Med Cases. 2016;7(5):184-186 doi: http://dx.doi.org/10.14740/jmc2480w
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Bakalli et al. (2016) conducted a case report in Acute Myocardial Infarction with Left Ventricular Thrombus and Acute Lower Limb Ischemia (n=1). Thrombectomy, LAD stenting, and medical therapy was evaluated on Clinical recovery and thrombus resolution.
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