Massive Left Ventricular Thrombus Causing Bilateral Posterior Cerebral Artery Stroke: A Case Report and Review of Literature

Division

North Florida

Hospital

North Florida Regional Medical Center

Document Type

Case Report

Publication Date

8-1-2022

Keywords

lvt, acute myocardial infarction, direct oral anticoagulation, post mi complications, posterior cerebral artery stroke, anti coagulation, left ventricular thrombus

Disciplines

Cardiology | Cardiovascular Diseases | Internal Medicine

Abstract

Left ventricular thrombus (LVT) is a major complication of acute myocardial infarction (MI). Here, we describe the case of a 36-year-old female with a history of acute anterior MI six years prior to hospitalization, who presented with bilateral vision loss due to a bilateral embolic posterior cerebral artery (PCA) stroke in the setting of a 5.7 x 1.7 cm LVT. She underwent bilateral PCA thrombectomy, which led to improvement of her symptoms. Her LVT was managed non-surgically with apixaban and clopidogrel. Her case highlights the need for more medical education about LVT, as quick initiation of anticoagulation is essential in improving outcomes. We review the existing literature to explain the pathogenesis, diagnosis, and treatment of LVT.

Publisher or Conference

Cureus

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