[Left intraventricular thrombosis causing an embolism to the right leg during an acute myocardial infarct. A report of a case monitored echocardiographically with diagnostic and therapeutic comments]

Abstract

Report of a case of a 54-year-old man who, during acute anterior myocardial infarction developed an apical thrombus and an embolism of the right leg. The serial echocardiographic study demonstrates how the original shape of the thrombus acutely changed at the same time of the embolic episode and how the new morphology of the thrombotic mass after embolism and thrombolytic plus anticoagulant therapy (performed for the acute ischaemic episode of the leg) was widely different from the initial one. The role of cross-sectional echocardiography is emphasized for the diagnostic value in case of intraventricular thrombi and for possible utilization also for therapeutic guidance.