Delayed left ventricular apical thrombus formation following discontinuation of dual anti-platelet therapy

Kevin Liou; John Lambros

doi:10.1016/j.hlc.2014.06.007

Delayed left ventricular apical thrombus formation following discontinuation of dual anti-platelet therapy

Heart Lung Circ. 2014 Nov;23(11):e237-9. doi: 10.1016/j.hlc.2014.06.007. Epub 2014 Jun 28.

Authors

Kevin Liou¹, John Lambros²

Affiliations

¹ Eastern Heart Clinic, Prince of Wales Hospital, Barker Street, Randwick, 2031, NSW. Electronic address: k_liou@hotmail.com.
² Eastern Heart Clinic, Prince of Wales Hospital, Barker Street, Randwick, 2031, NSW.

PMID: 25127668
DOI: 10.1016/j.hlc.2014.06.007

Abstract

Delayed de novo left ventricular apical thrombus following a distant antero-apical myocardial infarction has to our knowledge not been previously reported. Herein we describe a patient who developed an apical thrombus 18 months after his initial infarct following cessation of dual anti-platelet therapy for a traumatic subdural haematoma requiring surgical evacuation.

Keywords: Dual anti-platelet therapy; Late apical thrombus; Myocardial infarction; Prasugrel; Subdural haematoma.

Copyright © 2014 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved.

Publication types

Case Reports

MeSH terms

Heart Ventricles / diagnostic imaging*
Hematoma, Subdural, Intracranial / complications*
Hematoma, Subdural, Intracranial / diagnostic imaging
Hematoma, Subdural, Intracranial / drug therapy*
Humans
Male
Middle Aged
Myocardial Infarction* / diagnostic imaging
Myocardial Infarction* / etiology
Platelet Aggregation Inhibitors / administration & dosage*
Thrombosis* / diagnostic imaging
Thrombosis* / etiology
Ultrasonography
Withholding Treatment

Substances

Platelet Aggregation Inhibitors