Major Trauma induced Left Ventricular Thrombus after Acute Myocardial Infarction

Dong Wook Lee; Ju Hee Ha; Jun Ho Kim; Ki Beom Park; Jae Joon Lee; Han Il Choi; Jin Hee Kim

doi:10.12997/jla.2016.5.2.163

Journal List > J Lipid Atheroscler > v.5(2) > 1059575

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Lee, Ha, Kim, Park, Lee, Choi, and Kim: Major Trauma induced Left Ventricular Thrombus after Acute Myocardial Infarction

Case Report

Journal of Lipid and Atherosclerosis 2016; 5(2): 163-167.

Published online: 31 December 2016

DOI: https://doi.org/10.12997/jla.2016.5.2.163

Major Trauma induced Left Ventricular Thrombus after Acute Myocardial Infarction

Dong Wook Lee, Ju Hee Ha, Jun Ho Kim, Ki Beom Park, Jae Joon Lee, Han Il Choi, Jin Hee Kim

Department of Internal Medicine, Busan Medical Center, Busan, Korea.

Corresponding Author: Jin Hee Kim, Division of Cardiology, Department of Internal Medicine, Busan Medical Center, Geoje 2-dong, Yeonje-gu, Busan 611-072, Korea. Tel: +82-51-507-3000, Fax: +82-51-507-3001, yoplait83@hanmail.net

Received 30 May 2016 Revised 23 August 2016 Accepted 25 August 2016

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Left Ventricular Thrombus (LVT) formation after acute myocardial infarction is a serious complication. And the most feared complication of LVT is the systemic thromboembolic events, especially to the brain. Nowadays patients with acute myocardial infarction are treated with primary PCI and more aggressive anticoagulation therapies, resulting in the lower incidence of LVT. Early detection of LVT is very important, and echocardiography is the definitive test for detecting intracardiac thrombus. However, the need for serial echocardiography remains controversial. In this case report, we describe a 55-year-old man with major trauma induced LVT after acute myocardial infarction who underwent successful therapy.

Keywords: Left Ventricular Thrombus, Echocardiography, Major Trauma

Figures and Tables

Fig. 1

Spinal magnetic resonanace imaging at coming to the orthopedics. Images show burst fracture of the 3rd lumbar. (A) Coronal view, (B) Sagittal view.

Fig. 2

Coronary angiography images show that there was no change compared with the previous results in Left Anterior Descending coronary artery middle part.

Fig. 3

Echocardiographic findings at apical 4 chamber view. (A) Two days after trauma, large thrombus measuring 24 mm×15 mm in size were detected at the apex of the left ventricle, (B) Nine months treatment of thrombus, thrombus disappeared at the apex of the left ventricle.

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