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Refractory Left Ventricular Failure Due to Large Left Ventricular Thrombus

Filiz Özerkan, MD, Meral Kayikçiolu, MD, Azem Akilli, MD

Department of Cardiology Ege University Medical School zmir, Turkey

For reprint information contact: Filiz Özerkan, MD 1468 Sokak 16/A Alsancak, zmir, Turkey Tel: 90 232 422 1348 Fax: 90 232 374 6618 or 422 4537

Mural thrombi are common in patients with acute myocardial infarction and can cause refractory left ventricular failure as a rare complication. We report a case of large postinfarction ventricular thrombus resulting in left ventricular failure resistant to medical therapy. After echocardiographic diagnosis, thrombectomy and coronary bypass grafting were performed and the symptoms subsided.