LEFT VENTRICULAR ANEURYSM AND THROMBUS FORMATION AFTER ACUTE MYOCARDIAL INFARCTION: TREATMENT OPTIONS
Lukrecija Jakelytė, Romualdas Preikša
St. Ignatius Loyola College, Kaunas, Lithuania
Keywords: left ventricle aneurysm; left ventricle thrombus; acute myocardial infarction; left ventricular reconstruction.
Abstract:
Left ventricular aneurysm and thrombus are clinically significant complications of acute myocardial infarction. However, clear guidelines for selecting a treatment approach are lacking. A literature review was conducted to discuss the pathophysiology, aetiology, and associated risks of these complications, and to summarise treatment strategies and the process of selecting a suitable one. Conclusions: Left ventricular aneurysm with a mobile thrombus is a rare complication; therefore, therapeutic recommendations are based mainly on retrospective case series, and there are no clear treatment guidelines. Depending on the size of the aneurysm and the clinical significance of symptoms, either surgical treatment or conservative management with anticoagulation is chosen. More commonly, initial pharmacological therapy is selected, with therapeutic efficacy assessed over time and the need for surgical intervention reconsidered accordingly. Treatment is planned individually for each patient, taking into account the risks associated with surgery.
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