about 70 y old patient with condition after myocardial infarction (STEMI) of anterior wall (occlusion of RIVA respectively LAD) about 1 year ago in another hospital. Apical wall motion disturbance is known (septo-apical hypo-akinesia. Since that incident there was no clinical afflictions.
Actually the patient was admitted to our hospital for ambulant diagnostic. In TTE you can see a thrombus in the apex of LV (location of wall disturbance). orale anticoagulation is now necessary.