Recurrent acute pulmonary emboli in association with acute myocardial infarction

Left ventricular mural thrombi are a common complication of myocardial infarction, but right-sided mural thrombi have been reported only in blunt chest trauma, right ventricular catheterization, and pacemaker insertion. We describe a patient with AMI and subsequent right ventricular mural thrombi and ultimately pulmonary emboli. We believe a prospective study should be conducted first to evaluate the MI as a cause of right-sided mural thrombi and second to assess the right ventricle as a source of pulmonary emboli.