Thromboembolism in a Patient with a Left Ventricular Aneurysm
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Case Report

Thromboembolism in a Patient with a Left Ventricular Aneurysm

Eurasian J Emerg Med 2016;15:153-155 DOI: 10.5152/eajem.2016.20592
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Abstract

Idiopathic aneurysms involving the left ventricle are considered very rare, and in a majority of instances, they are asymptomatic. In a minority of patients, they may present with cardiac rupture, cardiac tamponade, ventricular arrhythmias, and sudden death. We describe the case of a 21-year-old male patient who was hospitalized for altered mentation and critical left lower limb ischemia because of acute embolic events. Transthoracic echocardiography demonstrated a left ventricular aneurysm and a reduced ejection fraction. Similarly, cardiac computed tomography showed a large left ventricular aneurysm with mobile vegetations representing thrombi. He was managed with therapeutic anticoagulation and recovered uneventfully.

Keywords: Thromboembolism, aneurysm, left ventricle, transthoracic echocardiography