A case of old Anterior wall MI Presenting with left Ventricular clot and systemic embolization in a young man

Patients having myocardial infarction with severe Left ventricular dysfunction should be followed up regularly as clot formation can be there in akinetic scarred areas. Other non-conventional risk factors should also be assessed. Our patient also had high homocysteine levels making such patients more prone for increased vascular risks, clot formation and embolization. Early anticoagulation, surgical intervention should be warranted in such patients so they can be saved from embolic complications especially in young age group.