The Metamorphosis of the Thrombus After Thrombolytic Therapy

A 55-year-old male was admitted to the cardiology department because of progressive fatigue and exercise intolerance. The patient’s previous history included a dual-chamber pacemaker implantation 7 years before as a result of bradycardia-tachycardia syndrome and inferior myocardial infarction 6 years ago, which resulted in left ventricular systolic dysfunction (ejection fraction of 30% on echocardiography and chronic total occlusion of the right coronary artery on coronary angiography). As a result of paroxysmal atrial fibrillation, the pacemaker had previously been switched to …