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Concurrent Subacute Stent Thrombosis and Left Ventricular Thrombus After STEMI: A Therapeutic Dilemma

Juan D Palomar1, Carlos A Arias2, Jeffrey Castellanos2

  • 1Programa de Cardiología-Facultad de Medicina, Fundación Universitaria Sanitas, Bogotá, Colombia; Departamento de Medicina Interna, Clínica Universitaria Colombia, Clínica Colsanitas S.A., Grupo Keralty, Bogotá, Colombia.

JACC. Case Reports
|March 12, 2026
PubMed

Insights

Left ventricular thrombus (LVT) and stent thrombosis after myocardial infarction pose treatment challenges. This case used warfarin for anticoagulation, highlighting the need for individualized antithrombotic strategies.

Area of Science:

  • Cardiology
  • Interventional Cardiology

Background:

  • Left ventricular thrombus (LVT) is a known complication of anterior ST-segment elevation myocardial infarction (STEMI) particularly after delayed reperfusion.
  • The simultaneous occurrence of LVT and stent thrombosis presents a complex therapeutic dilemma with no established anticoagulation guidelines.
Abstract

Keywords:
STEMIanticoagulationcardiac MRIdirect oral anticoagulantsleft ventricular thrombusstent thrombosistriple therapy

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