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.