title: Rapid growth of left ventricular thrombus leading to fatal heart failure in six hours.
abstract: A left ventricular (LV) thrombus grew rapidly over chronic endocarditis 2 months after anterior myocardial infarction. Echocardiograms demonstrated a rapidly growing LV thrombus an eventual obstruction. Despite anticoagulant/thrombolytic therapy, the patient died of acute LV failure. Histopathologically, a fresh thrombus overlay thickened endocardium with massive T lymphocyte infiltration over healed infarction.
authors.affiliation: Department of Internal Medicine, Urawa Municipal Hospital, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Anzai
authors.forename: Y
authors.initials: Y
authors.lastname: Asakura
authors.forename: H
authors.initials: H
authors.lastname: Yokozuka
authors.forename: M
authors.initials: M
authors.lastname: Hosokawa
authors.forename: A
authors.initials: A
authors.lastname: Murayama
authors.forename: T
authors.initials: T
authors.lastname: Ishii
authors.forename: Y
authors.initials: Y
authors.lastname: Nakamura
mesh_terms: D002908:Chronic Disease; D004696:Endocarditis / Q000150:complications; D017809:Fatal Outcome; D005260:Female; D006331:Heart Diseases / Q000150:complications* / Q000473:pathology; D006333:Heart Failure / Q000209:etiology*; D006352:Heart Ventricles; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications; D013927:Thrombosis / Q000150:complications* / Q000473:pathology; D013997:Time Factors