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A giant left ventricular thrombus in a patient with acute myocardial infarction--a case report

H Hirano1, M Takao, J Nomoto

  • 1Department of Cardiology, Fukuoka University School of Medicine, Japan.

Angiology
|July 5, 2001
PubMed

Insights

A patient with acute myocardial infarction and a giant left ventricular thrombus achieved successful treatment with percutaneous coronary intervention and anticoagulation. The thrombus resolved, and no arterial thromboembolism occurred.

Area of Science:

  • Cardiology
  • Nephrology
  • Vascular Medicine

Background:

  • Acute anteroseptal myocardial infarction presents complex challenges, especially with coexisting conditions like nephrotic syndrome.
  • Diabetic nephropathy can increase cardiovascular risk and complicate treatment strategies.

Observation:

  • A patient presented with acute anteroseptal myocardial infarction and a giant left ventricular apical thrombus.
  • The patient also had nephrotic syndrome secondary to diabetic nephropathy.
  • Coronary angiography revealed severe stenosis in the left anterior descending artery.

Findings:

  • Successful percutaneous transluminal coronary angioplasty and stenting restored coronary blood flow.
  • Intravenous heparin followed by warfarin led to the complete resolution of the left ventricular thrombus within 46 days.
  • Echocardiography confirmed no arterial thromboembolism during thrombus resolution.

Implications:

  • This case highlights the successful management of a large left ventricular thrombus in the context of myocardial infarction and diabetic nephropathy.
  • Effective anticoagulation and revascularization are crucial for preventing thromboembolic complications.
  • Integrated care addressing both cardiac and renal conditions is essential for optimal patient outcomes.

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