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Related Experiment Videos

Left ventricular thrombus sans overt cardiac pathology.

Om P Yadava1, Sumit Yadav, Saurabh Juneja

  • 1Department of Cardiology, Dharma Vira Heart Centre, Sir Ganga Ram Hospital, New Delhi, India. op_yadava@yahoo.com

The Annals of Thoracic Surgery
|August 7, 2003
PubMed
Summary

A young man with emboli had a left ventricular mass diagnosed as myxoma but found to be a thrombus. This rare case highlights diagnostic challenges and emphasizes the importance of histopathology for left ventricular thrombus.

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Area of Science:

  • Cardiology
  • Pathology
  • Diagnostic Imaging

Background:

  • Peripheral and cerebral emboli can originate from cardiac sources.
  • Left ventricular masses require thorough evaluation to determine etiology.
  • Distinguishing between cardiac tumors and thrombi is clinically significant.

Observation:

  • A 25-year-old male presented with embolic events.
  • Echocardiography revealed an incidental left ventricular mass.
  • The mass was initially suspected to be a myxoma due to absence of structural heart disease or hypercoagulable state.

Findings:

  • Surgical intervention and subsequent histopathology confirmed the mass to be a left ventricular thrombus.
  • This finding was unexpected given the patient's presentation and initial diagnostic considerations.

Related Experiment Videos

  • The case underscores the potential for thrombus to mimic cardiac tumors.

    • Implications:

    • Accurate diagnosis of left ventricular thrombus is crucial for appropriate management and prevention of recurrent emboli.
    • This case highlights the limitations of imaging modalities in definitively differentiating thrombi from myxomas.
    • Further investigation into the pathogenesis of such thrombi in young, otherwise healthy individuals is warranted.