PMC7640573_01
Electrocardiogram showing extensive posterior repolarization disorders (inferior, basal and lateral territory).
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Electrocardiogram (EKG) showed sinus rhythm with necrosis sequelae in inferior and basal territory, inverted T waves in V4 toV6, and some monomorphic ventricular extrasystole (VES) (Fig. 1).
A: severe left ventricular dysfunction with 37% of ejection fraction. B: Alteration of the left ventricular global longitudinal strain mainly affecting the posterior, inferior and lateral walls. Global longitudinal strain is calculated at -12%. C: Aneurysm of interauricular septum measuring 10mm x23 mm. LA = left atrium, RA = right atrium, AO =aorta.
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Atrial septal aneurysm (ASD) was showed, without evidence of a left-right shunt to the color doppler (Fig. 2) troponin was raised to 40 times normal value.
MRI of non-viable inferior and lateral wall infarction. LV =left ventricle.
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TOE revealing a mobile thrombus inserted in the PFO. LA = left atrium, RA =right atrium.
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Following the discovery of the ASD, we realized transesophageal echocardiography (TOE) which demonstrated PFO with an enclosed floating thrombus (Fig. 4).