The authors describe a case of biatrial thrombosis after acute inferior wal
l myocardial infarction (MI) with sinus rhythm. The presence of atrial thro
mbosis in patients with acute MI has recently been recognized with the aid
of echocardiography. However, to the author's knowledge, a case of biatrial
thrombosis after acute MI has not been reported previously. In this case,
blood stasis, resulting from both left ventricular and right ventricular sy
stolic dysfunction, was the most likely cause of the biatrial thrombi forma
tion. In summary, this case suggests that biatrial thrombosis may occur in
acute MI, even in the presence of sinus rhythm.