Acute Lower Limb Ischemia as Presenting Symptom of Acute Myocardial Infarction Complicated With Left Ventricular Thrombus in a Young Male Patient: A Case Report

Abstract

Left ventricular (LV) thrombus is one of myocardial infarction (MI) complications and if the thrombus is mobile and protruding, there is a high risk of embolization. It is exceptionally rare that the presenting serious symptom of acute MI is severe leg pain. We report here a rare case of a 36-year-old Caucasian male patient with unrecognized MI complicated by LV thrombus. His initial visit to the physician was due to sudden onset of severe left leg pain as a consequence of thromboembolism. Medical examination revealed occluded left femoral commune artery and femoral superficial artery, subacute MI and apical LV thrombus, which were treated accordingly. On follow-up, 2 months after hospital discharge, patient affirmed that he has been walking for approximately 3 km every day, without leg cramps or angina. Early recognition of MI, even when presented with atypical symptoms in young individuals and its prompt treatment is important to improve survival, as well as to reduce thrombotic events.

Acute arterial embolism of aorta and main limb arteries in patients with myocardium infarction

“…Частота тромбоэмболических осложнений при инфарктзависимом пристеночном тромбозе в тот период времени достигала 30 %. В настоящее время частота развития тромбов в левом желудочке или предсердии при ИМ составляет всего 2,7-8,0 % [1,2], что привело к тому, что ЭАН при ИМ стала встречаться реже [3,4]. Однако последствия ЭАН при ИМ остаются такими же тяжелыми, как и полвека назад, что обуславливает необходимость дальнейшего изучения причин ее развития и методов лечения.…”