Successful Medical Management of a Left Ventricular Thrombus and Aneurysm following Failed Thrombolysis in Myocardial Infarction

Author:

Oyedeji Adebayo T1,Lee Christopher2,Owojori Olukolade O3,Ajegbomogun Olabanji J4,Akintunde Adeseye A1

Affiliation:

1. Ladoke Akintola University, Ogbomoso, Nigeria.

2. International SOS, Lagos, Nigeria.

3. Lincolnshire NHS Trust Hospitals, UK.

4. Aintree University Hospital, UK.

Abstract

We report the case of a patient with an extensive anterior myocardial infarction complicated by left ventricular systolic dysfunction, left ventricular apical thrombus and an apical left ventricular aneurysm following failed thrombolysis. We obtained serial two-dimensional echocardiograms at short intervals in the acute phase and also during the months of recovery and follow up. The patient was successfully and exclusively medically managed.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine

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