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Published on: January 18, 2018
Management of Biventricular and Left Atrium Thrombi in a Patient With Acute Myocardial Infarction
Masatsugu Miyagawa1, Yusuke Sasa2, Yoshikuni Shoji2
1Division of Cardiology, Kawaguchi Municipal Medical Center, Kawaguchi, Japan; Division of Cardiology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan.
Background:
Multiple intracardiac thrombi are unusual and cause potentially fatal embolisms.
Case Summary:
We present the case of an elderly woman with acute myocardial infarction involving diabetic ketoacidosis. Her transthoracic echocardiogram revealed multiple thrombi in both ventricles and left atrium. She was discharged from our hospital without experiencing complications, including thromboembolism, after receiving multidisciplinary treatment.
Discussion:
Multiple intracardiac thrombi are an uncommon complication of myocardial infarction. The ability of plain computed tomography to evaluate intracardiac thrombus is unknown.
Take-Home Messages:
In cases with an intense prothrombotic state, early screening for intracardiac thrombi, avoidance of defibrillation, and continuation of anticoagulant therapy are important to prevent fatal thromboembolism. The computed tomography value of the thrombus has the potential to assess the risk of embolization.
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