Thrombus Formation at the Left Ventricular Apex Due to Split Inflow After MitraClip Implantation Hiromi Umeda , Kenji Ando , et al. JACC: Cardiovascular Interventions
An 8-year-old boy was admitted to the hospital with multiple abdominal and pelvic injuries following a motor vehicle accident. During hospitalization, signs of stroke developed. Evaluation discovered the cause to be emboli originating from a large left ventricular thrombus, most probably as a result of cardiac injury. Anticoagulation therapy was initiated, the cardiac mass resolved completely ...
This is less likely, however, given the LAA location of the thrombus which is seen with atrial disease rather than left ventricular location which is typically seen after myocardial infarction. In addition, the patient does not meet criteria for acc guidelines lv thrombus myocardial infarction, as he had no chest pain and ECG changes to suggest ischemia or infarction.
According to the 2013 American College of Cardiology/American Heart Association (ACC/AHA) guidelines , vitamin K acc guidelines lv thrombus antagonist therapy can be limited to 3 months in patients who have LV thrombus or are at risk for LV thrombus, such as patients with antero-apical akinesis or dyskinesis.
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