Calcified myocardial infarction with intracardiac thrombus

Case contributed by Stefan Tigges
Diagnosis certain


History of prior myocardial infarction.

Patient Data

Age: 45 years
Gender: Male

Left ventricular myocardial calcification, surgical clips both axillae, lungs clear, no pleural effusion.

Calcified apical/septal left ventricular infarct containing thrombus. Coronary atherosclerotic calcifications, LAD stent. Thrombosed left axillary femoral bypass graft, thrombosed aorta below the level of the renal arteries.

Case Discussion

The most common cause of a cardiac mass is thrombus. In this case, thrombus has formed subjacent to an LAD distribution infarct at least in part due to stasis of flow in an area of cardiac akinesis.

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