급성 전벽 심근경색 후 발생된 좌심실 혈전의 발현경향증환자 1예
A Case of Left Ventricular Thrombophilia after Anterior Wall Acute Myocardial Infarction
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저자들은 급성 전벽 심근경색증 후에 발생한 좌심실 혈전에 대해 지속적인 항응고요법을 시행하였으나 반복적으로 혈전이 형성되는 급성심근경색증과 동반된 혈전발현경향증 환자를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
In acute myocardial infarction, mural thrombi occur in approximately 20 per cent of patients who do not receive anticoagulant therapy and about 10 percent of thrombi result in systemic embolization. Threrfore, in acute phase of myocardial infarction, heparinization is considered as essential therapeutic regimen which afterwards acute phase, might have no clinical significance. We experienced a patient with recurrent LV apical thrombi inspite of an sufficient anticoagulation. This patient was treated with primary balloon PTCA and optimal duration of anticoagulation with IV heparin was maintained. At predischarge follow-up, TTE revealed huge LV apical thrombi and warfarinization was started. Three episodes of appearance and disappearance of thrombi have been noted and we report this patient as thrombophilia associated with acute myocardial infarction.