A ticking time bomb inside the heart

Thrombus formation inside the left ventricle (LV) is a dreaded complication following myocardial infarction. Depending on their anatomical characteristics, they pose significant risk of embolism, specifically stroke. Cardiac surgery in a patient with acute cerebral infarct is a tough predicament for the treating surgeon. Mobile clots carry higher risk than mural clots and need urgent thrombectomy. We present a case of massive LV clot in a young man leading to multiple acute embolic infarcts who was successfully treated by LV thrombectomy.