Abstract
The incidence of LV thrombus is approximately 40% following an Anterior Myocardial Infarction(1). Embolism from thrombus is regarded as the most common cause of Stroke following MI with an incidence as high as 10% (prethrombolytic era) & 2-3% (thrombolytic era) (2). A patient with apical thrombus has a high risk of perioperative thromboembolism (3), which could be avoided, to an extent with judicious use of anticoagulants.
Keywords: coronary artery disease, myocardial infarction, lv thrombus.
References
- Nayak D, Aronow WS, Sukhija R, McClung JA, Monsen CE, et al. Comparison of frequency of left ventricular thrombi in patients with anterior wall versus non-anterior wall acute myocardial infarction treated with antithrombotic and antiplatelet therapy with or without coronary revascularization. Am J Cardiol. 2004; 93:1529–30. [PubMed]
- Witt BJ, Ballman KV, Brown RD, Meverden RA, Jacobsen SJ, et al. The incidence of stroke after myocardial infarction: a meta-analysis. Am J Med. 2006; 119:354.e1–e9. [PubMed]
- Dantzig JM, Delemarre BJ, Bot H, Visser CA. Left ventricular thrombus in acute myocardial infarction. Eur Heart J. 1996; 17:1640–5. [PubMed]
- Asinger RW, Mikell FL, Elsperger J, et al Incidence of left-ventricular thrombosis after acute transmural myocardial infarction. Serial evaluation by two-dimensional echocardiography. N Engl J Med 1981; 305:297–302.
- Domenicucci S, Bellotti P, Chiarella Fet al Spontaneous morphologic changes in left ventricular thrombi: a prospective two-dimensional echocardiographic study. Clinical study with serial echocardiographic studies demonstrating spontaneous morphologic changes in LV thrombi.
- Vaitkus PT, Barnathan ES. Embolic potential, prevention and management of muralthrombus complicating anteriormyo-cardial infarction: ameta-analysis. J Am Coll Cardiol (1993) 22(4): 1004–9.doi:10.1016/0735-1097(93)90409-T.
- Mackman N. Triggers, targets and treatments for thrombosis. Nature 2008; 451:914–918.
- Vaitkus PT, Barnathan ES. Embolic potential, prevention and management of mural thrombus complicating anterior myocardial infarction: a meta-analysis. J Am Cross Ref PubMed Web of Science Google Scholar. Relevant meta-analysis regarding the embolic potential and management of LV thrombus.)
Corresponding Author
Satish Logidasan
Department of Anesthesiology, Govt Stanley Medical College, TN- 600001, India
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
DOI: https://dx.doi.org/10.18535/jmscr/v6i1.75
