Case Report

Thromboembolism in a Patient with a Left Ventricular Aneurysm


  • Muhammad Akbar Baig
  • Fatima Najeeb
  • Shahan Waheed
  • Nadeem Ullah Khan

Received Date: 23.06.2016 Accepted Date: 21.07.2016 Eurasian J Emerg Med 2016;15(3):153-155

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