Transient left atrial mobile thrombus in acute myocardial infarction--a case report.
The authors report a fifty-year-old woman with acute inferior myocardial infarction in whom left atrial mobile thrombus was found by echocardiography. They believe this to be the first echocardiographic documentation of such a thrombus after acute myocardial infarction. The combination of the stagnant flow in the left atrium due to atrial ischemia, the low output state due to left ventricular dysfunction, and the hemoconcentric tendency from use of diuretics might have played a role in the present thrombus formation. The thrombus was safely lysed without complication after intravenous urokinase.
Matsuyama
K
K
Division of Cardiology, Kumamoto University School of Medicine, Japan.
Misumi
I
I
Horio
Y
Y
Yasue
H
H
D004452:Echocardiography; D005260:Female; D006325:Heart Atria; D006331:Heart Diseases / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications*; D013927:Thrombosis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D014568:Urokinase-Type Plasminogen Activator / Q000627:therapeutic use
D014568:Urokinase-Type Plasminogen Activator