Transfemoral Retrograde Transcatheter Mechanical Thrombectomy of Massive Left Ventricular Thrombus.

ABSTRACT:

Background

Left ventricular thrombus remains a clinically significant and under-recognized source of embolic complications in patients with left ventricular dysfunction. Transcatheter thrombectomy offers a viable alternative in high-risk surgical patients.

Case summary

A 64-year-old woman with history of anterior acute myocardial infarction presented as a code stroke given sudden-onset dysarthria and right-sided facial droop. Brain magnetic resonance imaging revealed several acute infarcts in the left middle cerebral artery territory, consistent with embolic phenomenon. Transthoracic echocardiography demonstrated mildly reduced left ventricular ejection fraction of 44%, apical akinesis, and the presence of multiple large mobile left ventricular thrombi adherent to a papillar

SUBMITTER: Asselin CY 

PROVIDER: S-EPMC12789799 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature