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Case Reports
. 1993 Jul;14(7):997-8.
doi: 10.1093/eurheartj/14.7.997.

Infection of left ventricular thrombus in a patient with silent myocardial infarction--a unique complication

R Senior  1 , E B Raftery
Affiliations
Case Reports

Infection of left ventricular thrombus in a patient with silent myocardial infarction--a unique complication

R Senior et al. Eur Heart J. 1993 Jul.

Abstract

A 72-year-old male was admitted to hospital with exertional dyspnoea of recent onset. Echocardiography showed a left ventricle which was severely hypokinetic on the anteroseptal and anterior wall with an akinetic inferior wall and apex. A string of globular masses was seen to be floating in the left ventricle, attached to the septum near the apex. Coronary arteriography showed severe two-vessel disease. Urgent surgery revealed degenerated thrombus in the left ventricle containing green pus. The infected thrombus was attached to an area of septal infarction. The pus-filled thrombus was removed and by-pass grafting was effected. No infective organism was identified.

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Comment in

  • A bunch of grapes revisited.
    Allen S, Senior R, Raftery EB. Allen S, et al. Eur Heart J. 1994 Oct;15(10):1443. doi: 10.1093/oxfordjournals.eurheartj.a060412. Eur Heart J. 1994. PMID: 7821328 No abstract available.

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