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Myocardial infarction with thrombus formation during prolonged intense exercise
A Batalla1, C Simarro, G I Cubero
1Department of Cardiology, Hospital Central de Asturias, Oviedo, Spain.
International Journal of Cardiology
|August 12, 1998
Summary
A young man experienced sudden leg pain due to a blood clot. Doctors found a cardiac mass, revealing a rare link between myocardial infarction and peripheral artery embolism.
Area of Science:
- Cardiology
- Vascular Surgery
- Pathology
Background:
- Peripheral artery embolism is a serious condition often caused by cardiac sources.
- Sudden onset of severe limb pain necessitates urgent diagnosis and intervention.
Observation:
- A healthy young male presented with acute, severe bilateral lower extremity pain during cycling.
- Emergency bilateral femoral thromboembolectomy was performed, retrieving thrombotic material.
Findings:
- Two-dimensional echocardiography revealed a mobile mass attached to the cardiac apex.
- Pathological examination of the mass confirmed it to be a myocardial infarction with associated thrombus.
Implications:
- This case highlights a rare etiology of peripheral artery embolism in a young, healthy individual.
- It underscores the importance of cardiac evaluation in cases of unexplained thromboembolism.
- The findings suggest a potential embolic event originating from a small myocardial infarction.