An elderly patients with ventricular aneurysm, thrombus in the aneurysm, and cerebral infarction 10 years after myocardial infarction

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  • Shiono Etsuko
    Division of Cardiovascular Diseases, The Institute for Adult Diseases Asahi Life Foundation
  • Ashida Terunao
    Division of Cardiovascular Diseases, The Institute for Adult Diseases Asahi Life Foundation
  • Sugishita Kazuro
    Division of Cardiovascular Diseases, The Institute for Adult Diseases Asahi Life Foundation
  • Sugiyama Takao
    Division of Cardiovascular Diseases, The Institute for Adult Diseases Asahi Life Foundation
  • Fujii Jun
    Division of Cardiovascular Diseases, The Institute for Adult Diseases Asahi Life Foundation

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Other Title
  • 心筋梗塞後10年目で左心室瘤を形成, 12年目で心室瘤内血栓様エコーを呈し, 13年目に脳梗塞を合併した高齢者の1例
  • 症例報告 心筋梗塞後10年目で左心室瘤を形成,12年目で心室瘤内血栓様エコーを呈し,13年目に脳梗塞を合併した高齢者の1例
  • ショウレイ ホウコク シンキン コウソク ゴ 10ネンメ デ サシンシツリュウ オ ケイセイ 12ネンメ デ シンシツリュウナイ ケッセン ヨウ エコー オ テイシ 13ネンメ ニ ノウコウソク オ ガッペイ シタ コウレイシャ ノ 1レイ

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Abstract

A 75-year-old man had a 26-year history of hypertension and an 18-year history of effort angina pectoris. He suffered acute myocardial infarction at age 61. According to serial echocardiography, the initially hypokinetic segment of the left ventricular apex was transformed to an apical aneurysm over the course of 10 years (at age 71). Ten months later, a transient ischemic attack occurred, despite the administration of aspirin. At age 72, echocardiography revealed a hyperechoic lesion that was suspected to be a thrombus within the aneurysmal cavity. Cerebral infarction (right occipital lobe) occurred 13 years after myocardial infarction, at age 73. After warfarin therapy for 3 months, the thrombus-like echo in the left ventricular aneurysm disappeared.

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