Gepubliceerd in:
01-06-2012 | Imaging in Cardiology
An undulating giant left ventricular apical thrombus after myocardial infarction
Gepubliceerd in: Netherlands Heart Journal | Uitgave 6/2012
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A 54-year-old patient with a history of anterior myocardial infarction one year previously was admitted to the cardiology department. Electrocardiography showed sinus rhythm and persistent ST–segment elevation in the precordial leads indicating ventricular aneurysm. Transthoracic echocardiography revealed left ventricle apical aneurysm and a giant undulating thrombus (77 × 63 mm) in it (Fig. 1, video). The left ventricular ejection fraction was calculated as 15%. Anticoagulation treatment was started immediately and he was monitored closely.
Fig. 1
Transthoracic echocardiography apical for chamber view frame showing left ventricular dilatation (LV), apical aneurysm and a giant apical thrombus (T). RV: right ventricle
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