Journals / Journal of Surgery and Medicine / 2026 / Cilt: 4 Sayı: 5

Giant mobile left ventricular apical thrombus following silent infarction in a young patient: A case report

Genç hastada sessiz enfarkt sonrası sol ventrikül apikal dev mobil trombüs: Olgu sunumu

Enes Alıç(Department of Cardiology, University of Gaziantep,)0000-0003-0517-6243
Alper Karakuş(Besni State Hospital)0000-0002-9632-395X
Pages
423–425
Publication Date
2020-05-01
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We present the rare and interesting case of a 34-year-old patient diagnosed with a large, fragmented, very mobile left ventricular apical thrombus after silent myocardial infarction due to total occlusion of left anterior descending coronary artery.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Today, percutaneous coronary treatment and anticoagulation therapies are commonly used worldwide, which is why the incidence of reported left ventricular (LV) thrombus decreased.
📊
Key Findings & Data:Despite modern methods, we still encounter thromboembolic complications resulting in morbidity and mortality in a large number of patients, especially after silent infarctions.
💡
Conclusion & Impact:We present the rare and interesting case of a 34-year-old patient diagnosed with a large, fragmented, very mobile left ventricular apical thrombus after silent myocardial infarction due to total occlusion of left anterior descending coronary artery.
🔬Design:Olgu Sunumu
📍Scope:Comprehensive Sample
⚙️Variables:Sessiz miyokard enfarktüsü · Sol ventrikül trombüsü · Emboli riski

Abstract

Today, percutaneous coronary treatment and anticoagulation therapies are commonly used worldwide, which is why the incidence of reported left ventricular (LV) thrombus decreased. Despite modern methods, we still encounter thromboembolic complications resulting in morbidity and mortality in a large number of patients, especially after silent infarctions. Because of high embolism risk, early detection of LV thrombus is crucial. We present the rare and interesting case of a 34-year-old patient diagnosed with a large, fragmented, very mobile left ventricular apical thrombus after silent myocardial infarction due to total occlusion of left anterior descending coronary artery.

Özet

Günümüzde perkütan koroner girişimler ve antikoagülan terapilerin dünya çapında yaygın kullanımı nedeniyle sol ventrikülde trombüs oluşma insidansı geçmişe göre daha azdır. Modern metodlara rağmen, özellikle sessiz enfarktlardan sonra olan ve geniş bir hasta popülasyonunda mortalite ve morbidite ile sonuçlanan tromboembolik komplikasyonlar ile karşılaşmaktayız. Yüksek emboli riski nedeniyle sol ventrikül trombüslerinin erken teşhisi kritik önem taşımaktadır. Sol ön inen koroner arterin total tıkanmasına bağlı sessiz enfarkt sonrası sol ventrikül apikal kısımda büyük, fragmante, ileri derecede mobil trombüs tanısı koyduğumuz ilginç ve nadir görülen 34 yaşındaki vakayı sunmaktayız.

🔖

Cite This Article

İnanç, İ. H., Alıç, E., Karakuş, A. (2020). Giant mobile left ventricular apical thrombus following silent infarction in a young patient: A case report. Journal of Surgery and Medicine, Cilt: 4 Sayı: 5, 423–425. https://doi.org/10.28982/josam.673142

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (8)

  1. Tanaka D, Unai S, Diehl JT, Hirose H. Surgical removal of a large mobile left ventricular thrombus via left atriotomy. World Journal of Clinical Cases: WJCC. 2014;2(2):32.
  2. Wu JC, Solomon SD. Long-Term Consequences and Prognosis After Myocardial Infarction. Essential Echocardiography: A Companion to Braunwald's Heart Disease E-Book. 2018:204.
  3. Ates İ, Ulucan S, Kaya Z, Dogru M, Katlandur H, Keser A. Longitudinally Giant Left Ventricular Thrombus after Anterior Wall Myocardial Infarction. Acta Medica Anatolia. 2015;3(4).
  4. Domenicucci S, Chiarella F, Bellone P. Role of echocardiography in the assessment of left ventricular thrombus embolic potential after anterior acute myocardial infarction. Congestive Heart Failure. 2001;7(5):250-5.
  5. Chen C, Webster G, Morganroth J. Large mobile pedunculated left ventricular thrombus: Identification by two-dimensional echocardiography. Clinical Cardiology. 1981;4(4):189-92.
  6. Ye F, Silverstein BV, Khuddus MA, Bray CL, Lee AC. Giant Left Ventricular Thrombus in a Patient with Acute Ischemic Stroke: A Case Report and Minireview. Case Reports in Cardiology. 2018;2018.
  7. Nili M, Deviri E, Jortner R, Strasberg B, Levy MJ. Surgical removal of a mobile, pedunculated left ventricular thrombus: report of 4 cases. The Annals of Thoracic Surgery. 1988;46(4):396-400.
  8. Yalçın M, Katırcıoğlu EG, Yazman S, Tayfur KD, Ürkmez M. Troponin I levels before bypass surgery after acute myocardial infarction; When to operate? J Surg Med. 2018;2(3):228-32.