J Lipid Atheroscler.  2016 Dec;5(2):163-167. 10.12997/jla.2016.5.2.163.

Major Trauma induced Left Ventricular Thrombus after Acute Myocardial Infarction

• Lee DW
• Ha JH
• Kim JH
• Park KB
• Lee JJ
• Choi HI
• Kim JH

• KMID: 2366141
• DOI: http://doi.org/10.12997/jla.2016.5.2.163

Abstract

Left Ventricular Thrombus (LVT) formation after acute myocardial infarction is a serious complication. And the most feared complication of LVT is the systemic thromboembolic events, especially to the brain. Nowadays patients with acute myocardial infarction are treated with primary PCI and more aggressive anticoagulation therapies, resulting in the lower incidence of LVT. Early detection of LVT is very important, and echocardiography is the definitive test for detecting intracardiac thrombus. However, the need for serial echocardiography remains controversial. In this case report, we describe a 55-year-old man with major trauma induced LVT after acute myocardial infarction who underwent successful therapy.

Keyword

Left Ventricular Thrombus; Echocardiography; Major Trauma

MeSH Terms

Brain
Echocardiography
Humans
Incidence
Middle Aged
Myocardial Infarction*
Thrombosis*

Figure

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  Fig. 1 Spinal magnetic resonanace imaging at coming to the orthopedics. Images show burst fracture of the 3rd lumbar. (A) Coronal view, (B) Sagittal view.

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  Fig. 2 Coronary angiography images show that there was no change compared with the previous results in Left Anterior Descending coronary artery middle part.

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  Fig. 3 Echocardiographic findings at apical 4 chamber view. (A) Two days after trauma, large thrombus measuring 24 mm×15 mm in size were detected at the apex of the left ventricle, (B) Nine months treatment of thrombus, thrombus disappeared at the apex of the left ventricle.

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