Rapid growth of left ventricular thrombus leading to fatal heart failure in six hours.
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.
Anzai
T
T
Department of Internal Medicine, Urawa Municipal Hospital, Japan.
Asakura
Y
Y
Yokozuka
H
H
Hosokawa
M
M
Murayama
A
A
Ishii
T
T
Nakamura
Y
Y
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