Unusual Complete Resolution of Mobile Left Ventricular Thrombus with Low Molecular Weight Parenteral Heparin
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 6
Abstract
Left ventricular thrombus (LVT) formation post myocardial infarction (MI) particularly after anterior wall MI is well known to occur. The incidence of LVT formation is still a frequent complication even today despite of the prevailing aggressive reperfusion therapy options available. Occurrence of LVT can be related to deterioration in left ventricular (LV) function, ventricular aneurysm or ventricular dyskinesia. Echocardiography still remains the most commonly used diagnostic methodology for detecting LVT but the current gold standard is contrast induced magnetic resonance imaging. Mural and mobile thrombi have an increased risk of systemic embolization. Current guidelines state patients with LVT or who are at high risk to develop the same are to be treated with oral anticoagulants for at least 3 months. Here we report a case of a young male, post MI status diagnosed to have LVT and subsequently developed lower limb arterial thrombosis which completely resolved with anticoagulation therapy in 2 weeks.
Authors and Affiliations
Dr. SANDHEEP GEORGE VILLOTH, DR. S. THANIKACHALAM
Keywords
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- EP ID EP375599
- DOI 10.9790/0853-1706017678.
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