Multidisciplinary treatment and anticoagulant therapy prevented thromboembolic complications in an elderly woman with acute myocardial infarction and multiple intracardiac thrombi.
Case Report (n=1)
This case highlights the importance of early screening for intracardiac thrombi and careful anticoagulation management in patients with acute myocardial infarction complicated by a prothrombotic state such as diabetic ketoacidosis.
BACKGROUND: Multiple intracardiac thrombi are unusual and cause potentially fatal embolisms. CASE SUMMARY: We present the case of an elderly woman with acute myocardial infarction involving diabetic ketoacidosis. Her transthoracic echocardiogram revealed multiple thrombi in both ventricles and left atrium. She was discharged from our hospital without experiencing complications, including thromboembolism, after receiving multidisciplinary treatment. DISCUSSION: Multiple intracardiac thrombi are an uncommon complication of myocardial infarction. The ability of plain computed tomography to evaluate intracardiac thrombus is unknown. TAKE-HOME MESSAGES: In cases with an intense prothrombotic state, early screening for intracardiac thrombi, avoidance of defibrillation, and continuation of anticoagulant therapy are important to prevent fatal thromboembolism. The computed tomography value of the thrombus has the potential to assess the risk of embolization.
Miyagawa et al. (Sun,) conducted a case report in Acute myocardial infarction with multiple intracardiac thrombi (n=1). Multidisciplinary treatment including anticoagulant therapy was evaluated on Complications including thromboembolism. Multidisciplinary treatment and anticoagulant therapy prevented thromboembolic complications in an elderly woman with acute myocardial infarction and multiple intracardiac thrombi.
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