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Recent Inferior Myocardial Infarction Complicated with a Right Ventricular Thrombus Detected by Three Cardiac Imaging

Toshiki Kuno1, Syohei Imaeda1, Kenji Hashimoto1

  • 1Department of Cardiology, Japanese Red Cross Ashikaga Hospital, Japan.

Internal Medicine (Tokyo, Japan)
|November 21, 2017
PubMed

Insights

A right ventricular thrombus can complicate myocardial infarction. Prompt anticoagulation therapy effectively resolved thrombi in the right ventricle and coronary artery in this case.

Area of Science:

  • Cardiology
  • Cardiovascular Imaging
  • Thrombosis Research

Background:

  • Inferior myocardial infarction (MI) can involve the right ventricle.
  • Right ventricular infarction (RVI) carries a higher risk of complications.

Observation:

  • A 71-year-old woman presented with inferior MI and RVI.
  • Imaging revealed a right ventricular thrombus and right coronary artery thrombus.

Findings:

  • Three imaging modalities confirmed the presence of a right ventricular thrombus.
  • Aggressive anticoagulation therapy led to complete resolution of both right ventricular and coronary thrombi.

Implications:

  • RVI necessitates thorough assessment for right ventricular thrombus formation.
  • Early anticoagulation may be crucial for managing RV thrombi post-MI.
  • This case highlights the importance of comprehensive imaging and treatment in complex MI cases.

Keywords:
inferior myocardial infarctionright ventricular infarctionright ventricular thrombusthree-dimensional transthoracic echocardiography

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