# Giant Left Ventricular Thrombus Rapidly Developing in an Extremely Short Period of Time in a Patient With Severe Systolic Dysfunction

## TL;DR

A patient with heart failure developed a large heart blood clot quickly after an infection, leading to severe complications and death.

## Contribution

This case highlights the rapid development of a giant left ventricular thrombus in a patient with systolic dysfunction.

## Key findings

- A patient with systolic dysfunction developed a giant LVT within one month after an infection.
- The LVT caused acute limb ischemia, gangrene, and death.
- Pulmonary thrombosis was also detected in the patient.

## Abstract

Although left ventricular thrombi (LVTs) are closely related to the prognosis of patients with systolic dysfunction, anticoagulation therapy is not recommended for the primary prevention of LVTs in patients with sinus rhythm heart failure. We report a case of a patient with systolic dysfunction who developed a giant LVT in an extremely short period of time (one month) after an infection. The LVT led to acute limb ischemia, gangrene, and death. Additionally, we incidentally detected pulmonary thrombosis in this patient.