Hemorrhagic Myocardial Infarction Implicating Left Ventricular Thrombus.

Keyur P Vora, Rohan Dharmakumar

Abstract readCase Reports

In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Keyur P VoraCardiovascular Imaging Research Center, Medical Imaging Research Institute, Indiana University School of Medicine, Indianapolis, Indiana, USA; Division of Cardiovascular Medicine, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA.

Rohan DharmakumarCardiovascular Imaging Research Center, Medical Imaging Research Institute, Indiana University School of Medicine, Indianapolis, Indiana, USA; Division of Cardiovascular Medicine, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA. Electronic address: rdkumar@iu.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLeft ventricular thrombus formation following ST-segment elevation myocardial infarction is typically attributed to blood stasis in an akinetic apex. However, thrombus can form even in the presence of anticoagulation, suggesting alternative mechanisms may be at play. CASE SUMMARY: A 44-year-old man with an anterior ST-segment elevation myocardial infarction underwent primary percutaneous coronary intervention with successful restoration of TIMI flow grade 3. Despite receiving 19,000 U of heparin, a mobile apical thrombus formed. Cardiac magnetic resonance revealed a large intramyocardial hemorrhage. Feature-tracking strain analysis quantified a "mechanical tug of war" at the infarct border. The magnitude of the shear was spatially concordant with a suspected endocardial disruption, creating structural nidus for thrombosis. DISCUSSION: This case demonstrates that severe reperfusion intramyocardial hemorrhage can induce a mechanical breach of the endocardium. Recognition of hemorrhagic dissection via cardiac magnetic resonance shifts the management paradigm from treating generic stasis to managing a specific structural failure.

Indexed as

hemorrhagemyocardial infarctionmyocardial revascularizationthrombus

Identifiers

PMID41885657

DOI10.1016/j.jaccas.2026.107612

PMCPMC13130923

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.