A giant left ventricular thrombus in a patient with acute myocardial infarction - A case report

The authors report a patient with acute anteroseptal myocardial infarction with a giant left ventricular thrombus at the apex. The patient also had ne phrotic syndrome due to diabetic nephropathy. Coronary angiography showed 9 0% stenosis at segment 6 of the left anterior descending coronary artery. P ercutaneous transluminal coronary angioplasty and intracoronary stenting we re performed on the 30th day, and effective coronary blood flow was obtaine d. Heparin was injected intravenously for the first 7 days, and warfarin wa s administered thereafter. The left ventricular thrombus disappeared after 46 days. No evidence of arterial thromboembolism was found during the disap pearance of the left ventricular thrombus as determined by echocardiography .