A case of infected left ventricular thrombus as a complication of myocardial infarction

نویسندگان

  • Kazuo Eguchi
  • Nobuhito Arakawa
  • Yasuhiro Tezuka
  • Shoji Ohno
  • Hajime Kuroda
  • Ken Saito
چکیده

A 68-year-old man was admitted with high fever and dyspnea. Under the diagnoses of pneumonia and heart failure, antibiotic and diuretic therapies were performed, but elevated CRP of more than 6 mg/dl persisted. An apical type of hypertrophic cardiomyopathy-like structure was observed in echocardiography. On the 18 hospital day, he died suddenly of fatal arrhythmia, and infected apical left ventricular (LV) thrombus complicated by old inferior and acute anterior myocardial infarction was found in the autopsy. In this case, the LV mural thrombus was adhered around the apical portion of the myocardium and presented inflammatory change, which might have caused the fatal arrhythmias. (

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تاریخ انتشار 2012