PMC4946383_01
Electrocardiogram: with lateral T wave inversion.
HI-10-1-25-g001.jpg
PMC4946383_01_HI-10-1-25-g001.jpg
fig_1
showed sinus tachycardia with lateral T wave inversion (Fig. 1).
Apical two-chamber view of the heart with left ventricular thrombus shown.
HI-10-1-25-g002.jpg
PMC4946383_01_HI-10-1-25-g002.jpg
fig_2
The echocardiogram showed moderate left ventricular (LV) dilatation with severely reduced LV systolic function and left ventricular ejection fraction (LVEF) <15% associated with a 2.1 cm apical thrombus (Fig. 2).
Two sequential thrombi in the distal segment of the obtuse marginal 2 (OM2).
HI-10-1-25-g003.jpg
PMC4946383_01_HI-10-1-25-g003.jpg
fig_3
Given the chest pain, elevated cardiac biomarkers and ECG changes suggestive of ischemia, a coronary angiography was performed which revealed two filling defects in the distal segment of the second obtuse marginal artery with a hazy appearance consistent with thrombi (Fig. 3).
Fresh thrombus which was aspirated from the distal obtuse marginal 2 (OM2).
HI-10-1-25-g004.jpg
PMC4946383_01_HI-10-1-25-g004.jpg
fig_4
Aspiration thrombectomy was performed with multiple passes at the site of thrombi and fresh clot was retrieved (Fig. 4).
Repeat images demonstrating resolution of the stenosis in the obtuse marginal 2 (OM2).
HI-10-1-25-g005.jpg
PMC4946383_01_HI-10-1-25-g005.jpg
fig_5
Repeat images were performed and showed resolution of the thrombus (Fig. 5).