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European Heart Journal 1993 14(7):997-998;
Copyright © 1993 by the European Society of Cardiology.
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© 1993 The European Society of Cardiology

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

R. SENIOR and E. B. RAFTERY

Northwick Park Hospital Watford Road, Harrow, Middlesex HA1 3UJ, U.K.

Received 16 November 1992; revised 3 February 1993; .

Correspondence: Dr E. B. Raftery, Consultant Cardiologist, Northwick Park Hospital, Watford Road, Harrow, Middlesex HA1 3UJ, U.K.

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 identfled.

Key Words: Left ventricular thrombus • echocardiography • abscess


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