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Colossal left ventricular apical thrombus

Judy Luu1, Edney Boston-Griffiths2, Antonia Zhu1

  • 1Section of Cardiology, Department of Internal Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences University of Manitoba Winnipeg Manitoba Canada.

Clinical Case Reports
|April 19, 2019
PubMed

Insights

Left ventricular apical thrombus can occur after anterior ST-elevation myocardial infarction. Further imaging like echocardiography or cardiac MRI is recommended to confirm and characterize thrombus post myocardial infarction.

Area of Science:

  • Cardiology
  • Cardiovascular Imaging

Background:

  • Anterior ST-elevation myocardial infarction (STEMI) is a critical cardiac event.
  • Left ventricular apical thrombus formation is a recognized complication post-STEMI.

Purpose of the Study:

  • To highlight the diagnostic challenges of left ventricular apical thrombus after STEMI.
  • To emphasize the role of advanced imaging modalities in thrombus characterization.

Main Methods:

  • Review of diagnostic approaches for left ventricular apical thrombus.
  • Discussion of imaging techniques including left ventriculography, echocardiography, and cardiac magnetic resonance (CMR).

Main Results:

  • Left ventriculography may indicate apical thrombus via filling defects.
  • Echocardiography and CMR provide superior characterization of thrombus morphology and extent.

Conclusions:

  • Left ventricular apical thrombus is a complication of anterior STEMI.
  • While left ventriculography can be suggestive, echocardiography and CMR are essential for definitive diagnosis and characterization of apical thrombus post-myocardial infarction.

Keywords:
cardiac MRIcardiac massechocardiographymyocardial infarction

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