, Volume 12, Issue 2, pp 81-82
Date: 22 Feb 2014

Massive thrombus in the left ventricle: a case report

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Case report

A 76-year-old woman with a history of anteroseptal myocardial infarction accompanying left ventricular aneurysm was transferred to our hospital after being found in a state of cardiopulmonary arrest by her daughter. Prior to the incident, she had been optimally medicated with angiotensin II receptor blockers and β-blocker therapy, including aspirin and warfarin. Her recent blood examination obtained 6 days before the incident yielded a prothrombin time–international normalized ratio (PT-INR) level of 1.72.

Emergent medical service arrived at her house within 10 min of the service call. Cardiopulmonary resuscitation was immediately started and continued until she arrived at our hospital. On arrival, she had no vital signs, and her electrocardiogram revealed a state of asystole. After 20 min of cardiopulmonary resuscitation, her heart beat was reinitiated. Subsequently, transthoracic echocardiography revealed a massive (3 × 5-cm) mobile mass with a heterogeneous echo pattern ac ...