Fig. 10. (Continued)
However, if captured, the findings on TTE (or TEE) may include a pre-existing pseudoaneurysm (now ruptured), discontinuity or marked thinning and akinesis of the involved wall at the terminal territory of the culprit occluded vessel, a pericardial effusion (occasionally with thrombus in the pericardial sac), and low velocity color Doppler flow into the pericardium. Prompt surgery is the only treatment for this complication.
Left ventricular thrombus is a relatively common complication of MI. It has been found in 20-60% of cases in postmortem series before the thrombolytic era. More recent Gruppo Italiano per lo Studio della Streptochinasi nell'Infarto Miocardico (GISSI)-3 study data shows an overall incidence of 5.1% in thrombol-ysed patients, and patients with anterior infarcts, large
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