The embolic storm: dramatic peripheral complications of left ventricular thrombosis after myocardial infarction.

Abstract

Left ventricular thrombus is a common complication after acute myocardial infarction. Although anticoagulant treatment has an established role in reducing the rate of thrombus formation and embolic phenomena during acute myocardial infarction, prior studies showed that left ventricular thrombus and systemic embolization may develop irrespective of adequate anticoagulant therapy. We present a descriptive case of a patient with left ventricular thrombus who experienced dramatic peripheral embolic events soon after the onset of anterior myocardial infarction despite full anticoagulation, and we discuss possible pathogenesis.

• Authors: Massimo Baravelli, Andrea Rossi, Paolo Cattaneo, Luigi Steidl, Francesco Dentali, Paola Dario, Daniela Imperiale, Maria Cristina Rossi, Anna Picozzi, Cecilia Fantoni, Claudio Anzà
• Journal: Blood coagulation & fibrinolysis : an international journal in haemostasis and thrombosis (Blood Coagul Fibrinolysis) Vol. 20 Issue 1 Pg. 78-80 (Jan 2009) ISSN: 1473-5733 [Electronic] England
• PMID: 19129728 (Publication Type: Case Reports, Journal Article)

Topics

• Aged
• Echocardiography
• Female
• Humans
• Myocardial Infarction (complications, diagnosis)
• Thrombosis (complications, diagnosis)
• Ventricular Dysfunction, Left (complications, diagnosis)