Laminated Lv Apical Thrombus

Follow up occurred through march 2019.

Laminated lv apical thrombus. Mural thrombi are most commonly seen between six and 10 days following an acute myocardial infarction mi. Before cardioversion 17 81 patients were anticoagulated with warfarin or heparin. Patients with apical myocardial infarction are at higher risk of developing left ventricular lv thrombi. B shows the thrombus in the left atrium la before removal of the.

Standard transesophageal echocardiography tee is commonly used in assessing cardiac source of embolic cerebrovascular accident cva. Left ventricular mural thrombus lvt complicating myocardial infarction has significant morbidity and potential mortality. A represents the precardiopulmonary bypass image of the apical thrombus in the left ventricle lv. Typically the clot is a mural thrombus meaning it is on the wall of the ventricle.

Left ventricular lv thrombosis persists as a clinical challenge in echocardiographic diagnosis and is an important risk factor for perioperative embolic events in cardiac surgery. Left ventricular lv thrombus is a feared complication of lv dysfunction associated with high rates of systemic embolism morbidity and mortality. Lvt is a common complication of acute myocardial infarction ami. Appropriate detection and monitoring when thrombus is suspected is critical in surgical planning and in avoiding catastrophic patient outcomes.

Lvt carries both short term and long term risk of embolic events which may result in stroke and systemic complications 2 3. Studies have demonstrated high incidence of lvt following anterior myocardial infarction. A three center cohort study was performed identifying 514 patients with lv thrombus on echocardiography between october 2013 and march 2019. Transesophageal echocardiography images of case 2.

Traditionally lv thrombus has been associated with acute myocardial infarction mi. They occur at the left ventricular apex and are more common following an anterior wall infarction since anterior mis involve more of the apex fig 2.