[Left ventricular thrombosis after anterior ST-elevation myocardial infarction: surgical management with a transmitral approach. A case report] - PubMed
6 hours ago
- #Surgical thrombectomy
- #Left ventricular thrombosis
- #ST-elevation myocardial infarction
- A 66-year-old patient with anterior ST-elevation myocardial infarction (STEMI) developed left ventricular thrombosis after primary angioplasty.
- The thrombus initially sessile became pedunculated and mobile after anticoagulant therapy, increasing cardioembolic risk.
- Surgical thrombectomy via a transmitral approach with fibroscopic assistance was performed, leading to complete thrombus removal.
- Postoperative complications included hemopericardium, which was surgically resolved, followed by a favorable clinical outcome.
- Left ventricular thrombosis is a high-risk complication of anterior myocardial infarction, requiring multidisciplinary management.
- Anticoagulant therapy is first-line, but surgical removal may be necessary for large, mobile thrombi, though rarely reported.