A 22-year-old man was admitted to our observation with left ventricular thr
ombus arising after blunt chest trauma occurring during a ski accident one
year before. None was obtained from a review of instrumental and laboratory
data at trauma time. Transesophageal echocardiography showed an, intravent
ricular thrombus and severe hypokinesia at the apex. Standard cardiac surge
ry procedure was performed and postoperative period was uneventful. Echocar
diography controls at 6/12 months showed a normal apex kinesia This case sh
ows the importance of hospitalization, hemodynamics monitorization and late
serial echocardiographic controls for timely diagnosis and management of m
yocardial contusion and consecutive ventricular thrombus formation to preve
nt life-threatening complications.