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Case Report: We report the case of a 29-year-old patient who presented with typical infarctoid pain and notion of intermittent claudication of the lower limbs, in whom clinical examination found subacute ischemia of the lower limbs. The trans-thoracic echocardiography show an apex akinesia with voluminous apical thrombus, an arterial doppler confirming an arterial obliterant arteropathy of the lower limbs.

Fortuitous Discovery of Left Ventricular Apical Thrombus and Sub-Acute Lower Limb Ischemia Revealing a HyperHyperhomocysteinemia in a Young Women