Biventricular Thrombosis Associated with Painless Myocardial Infarction: A Case Report and Literature Review

Qu Y, Deng Y, Liu L, Wu C, Wei L, He X and Sun Y

Department of VIP & Geriatrics, Peking University Shenzhen Hospital, China
Department of Cardiology, Peking University Shenzhen Hospital, China
Department of B Ultrasonic, Peking University Shenzhen Hospital, China

^*Correspondance to: Yansun Sun 

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Abstract:

Background: Biventricular thrombosis, although rare, can be fatal. Early detection and timely intervention are crucial in determining the outcome of the disease. Case Report: A 50-year-old male patient, with a history of active smoking and hypertension, was admitted due to slightly difficult breathing and edema in the feet for three days. Transthoracic echocardiography revealed mural thrombosis in both the left and right ventricular apex. Subsequent examination confirmed the presence of diabetes mellitus and old myocardial infarction. After adequate anticoagulation with warfarin, the thrombus resolved completely within 12 days. Conclusion: The risk of biventricular thrombosis in patients with myocardial infarction may be underestimated, especially in those with painless myocardial infarction. Clinicians should focus on high-risk populations, such as anterior wall myocardial infarction combined with low left ventricular ejection fraction.

Keywords:

Biventricular thrombosis; Anticoagulation; Left/right ventricular apex; Diabetes mellitus

Cite the Article:

Qu Y, Deng Y, Liu L, Wu C, Wei L, He X, et al. Biventricular Thrombosis Associated with Painless Myocardial Infarction: A Case Report and Literature Review. Clin Case Rep Int. 2023; 7: 1565.