A Giant Left Ventricular Thrombus in a Patient with Acute Myocardial Infarction

Abstract

The authors report a patient with acute anteroseptal myocardial infarction with a giant left ventricular thrombus at the apex. The patient also had nephrotic syndrome due to diabetic nephropathy. Coronary angiography showed 90% stenosis at segment 6 of the left anterior descending coronary artery. Percutaneous transluminal coronary angioplasty and intracoro nary stenting were performed on the 30th day, and effective coronary blood flow was obtained. Heparin was injected intravenously for the first 7 days, and warfarin was administered there after. The left ventricular thrombus disappeared after 46 days. No evidence of arterial throm boembolism was found during the disappearance of the left ventricular thrombus as deter mined by echocardiography.