Incidental apical left ventricular mural thrombus late after myocardial infarction with chronic myeloid leukaemia detected by cardiac magnetic resonance: a case report.

ABSTRACT:

Background

Left ventricular (LV) thrombus represents a critical complication following acute myocardial infarction (MI), particularly in patients with reduced LV ejection fraction (LVEF) < 40%, extensive MI, and LV aneurysm. Chronic myeloid leukaemia (CML), a haematological malignancy, is a recognized risk factor for thrombosis. While transthoracic echocardiography (TTE) serves as a 'goalkeeper' for the initial screening modality, its sensitivity in detecting mural thrombi remains limited. Cardiac magnetic resonance (CMR) with gadolinium enhancement has emerged as the diagnostic gold standard due to its superior spatial resolution and ability to recognize thrombus.

Case summary

A 47-year-old male with CML, undergoing chemotherapy and a history of extensive anterior ST elevat

SUBMITTER: Nguyen QM 

PROVIDER: S-EPMC12723222 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature