Huret J F, Gebuhrer V, Shibli H, Fichter P, Grand A
Service de Cardiologie, Centre Hospitalier, Valence.
Ann Cardiol Angeiol (Paris). 1992 Mar;41(3):137-40.
The authors report a case which is unusual because of the late presentation, as a cerebral embolism, of a left intraventricular thrombus six years after an infarction. This thrombus was absent at the acute stage of the infarction. The conditions surrounding the development of a thrombus after an infarction are reviewed. This is a common complication at the acute stage of an anterior infarction, notably when there is apical akinesia. The late onset of these thrombi has not been extensively studied in the literature. This would appear to be a fairly rare event but which, as shown by our case, pleads in favour of very prolonged anticoagulant treatment after certain myocardial infarctions.
作者报告了一例不同寻常的病例，因在梗死六年之后出现左心室内血栓，以脑栓塞形式表现，且较晚才被发现。在梗死急性期时该血栓并不存在。本文对梗死后血栓形成的相关情况进行了综述。这是前壁梗死急性期的常见并发症，尤其是在存在心尖运动减弱时。这些血栓的延迟出现尚未在文献中得到广泛研究。这似乎是相当罕见的事件，但正如我们的病例所示，支持在某些心肌梗死后进行非常长时间的抗凝治疗。
