TY - JOUR T1 - Intracardiac thrombus and Murphy's law: Reflections on a clinical dilemma JO - Revista Portuguesa de Cardiologia (English edition) T2 - AU - Rodrigues,Patrícia AU - Sousa,Maria João AU - Caiado,Luísa AU - Cabral,Sofia AU - Meireles,Ana AU - Santos,Mário AU - Palma,Paulo AU - Torres,Severo SN - 21742049 M3 - 10.1016/j.repce.2015.09.020 DO - 10.1016/j.repce.2015.09.020 UR - https://www.revportcardiol.org/en-intracardiac-thrombus-murphy39s-law-reflections-articulo-S2174204916300034 AB - We discuss the case of a 49-year-old patient with left ventricular systolic dysfunction and a large, mobile and protruding apical thrombus. In spite of anticoagulation treatment, extensive and clearly defined systemic embolization occurred.We discuss the current evidence on the treatment of intracardiac thrombus with high risk of systemic embolization and propose a tailored approach to avoid potential catastrophic consequences. ER -