The embolic storm: dramatic peripheral complications of left ventricular thrombosis after myocardial infarction.
Left ventricular thrombus is a common complication after acute myocardial infarction. Although anticoagulant treatment has an established role in reducing the rate of thrombus formation and embolic phenomena during acute myocardial infarction, prior studies showed that left ventricular thrombus and systemic embolization may develop irrespective of adequate anticoagulant therapy. We present a descriptive case of a patient with left ventricular thrombus who experienced dramatic peripheral embolic events soon after the onset of anterior myocardial infarction despite full anticoagulation, and we discuss possible pathogenesis.
Baravelli
Massimo
M
Division of Cardiology and Intensive Cardiopulmonary Rehabilitation, Clinical Institute Multimedica Holding, Castellanza, Italy. massimo.baravelli@virgilio.it
Rossi
Andrea
A
Cattaneo
Paolo
P
Steidl
Luigi
L
Dentali
Francesco
F
Dario
Paola
P
Imperiale
Daniela
D
Rossi
Maria Cristina
MC
Picozzi
Anna
A
Fantoni
Cecilia
C
Anzà
Claudio
C
D000368:Aged; D004452:Echocardiography; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000150:complications* / Q000175:diagnosis; D013927:Thrombosis / Q000150:complications* / Q000175:diagnosis; D018487:Ventricular Dysfunction, Left / Q000150:complications* / Q000175:diagnosis