“…LV aneurysms is usually de ned as a well-delineated, thin, scarred, or brotic wall devoid of muscle or containing necrotic muscle, caused by healed transmural myocardial infarction (MI) [1] , thrombus is a serious complication of aneurysm, appropriate antithrombotic therapy can reduced the incidence of thromboembolism and mortality of patients with thromed LV aneurysms [2] . Intra-myocardial dissection hematoma (IDH) is an extremely rare and unusual form of impending heart rupture, with the character of neocavitation in myocardium layer caused by blood in ltrating among the myocardial bers [3] , which may contribute to ventricular rupture.…”