title: Use of streptokinase for lysis of a mobile left ventricular thrombus--report of a case and review of the literature.
abstract: One-third of patients with acute anterior wall infarction develop left ventricular apical thrombi. Mobile thrombi carry the highest risk of systemic embolization, particularly in the early phase after the acute infarction. We report here on a young patient in whom a protruding and mobile left ventricular thrombus was detected on two-dimensional echocardiogram 1 week after an acute antero-septal infarction. Intravenous administration of relatively low doses of streptokinase was followed within 14 h by complication-free resolution and disappearance of the thrombus.
authors.affiliation: Heiden Department of Cardiology, Bikur Cholim Hospital, Jerusalem, Israel.
authors.forename: A
authors.initials: A
authors.lastname: Keren
authors.forename: B
authors.initials: B
authors.lastname: Mazouz
authors.forename: M
authors.initials: M
authors.lastname: Moriel
authors.forename: D
authors.initials: D
authors.lastname: Tzivoni
authors.forename: S
authors.initials: S
authors.lastname: Stern
mesh_terms: D004452:Echocardiography; D006352:Heart Ventricles / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications; D013300:Streptokinase / Q000627:therapeutic use*; D013927:Thrombosis / Q000188:drug therapy* / Q000209:etiology / Q000503:physiopathology
chemical_list: D013300:Streptokinase