[Mobile multiple left chamber thrombi causing multiple embolism in the limbs requiring surgery]

The authors report on the case of a 35-year-old man with multiple risk factors, who was sent to cardiac examination in order to find the cause of microembolisms on his fingers of his hands and on his right leg. According to the history and the ECG the patient had suffered an anterior myocardial infarction at home two months before the embolisms which had not been detected at that time. Performing 2D echocardiography, wall motion abnormality indicating anterior myocardial infarction and several thrombi were found as the source of embolisms. One of the thrombi were highly mobile. During 7 week of anticoagulant therapy there was no new embolism but the thrombi did not show regression, therefore the patient was sent to the Hungarian Institute of Cardiology where successful thrombectomy and revascularisation were performed after transoesophageal echocardiography and coronarography. At two year follow-up after the surgery there was no new thrombus detected. In connection with the case the authors surveyed the literature of left ventricular thrombus formation following myocardial infarction.