The Value of Cardiac MRI in the Diagnosis of Left Intraventricular Apical Thrombus after Myocardial Infarction: A Case Report

Left ventricular thrombus is a dreadful complication in post-myocardial infarction and should be researched, especially in patients with ventricular dysfunction, given the high thromboembolic risk in these patients. Several studies have shown that transthoracic echocardiography (TTE) lacks specificity when compared with cardiac magnetic resonance imaging (MRI) in the discovery of intraventricular thrombus. However, MRI remains a costly and time-consuming examination, especially in developing countries. In our clinical case, cardiac MRI enabled us to diagnose an apical intra- LV thrombus in the post-infarction period, which guided us in the correct management of the patient and avoided any thromboembolic complications. Today, cardiac MRI confirms its value as a reference imaging tool in the management of ischemic heart disease.