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Updated: Jul 13, 2026

Evaluation of Left Ventricular Structure and Function using 3D Echocardiography
06:34

Evaluation of Left Ventricular Structure and Function using 3D Echocardiography

Published on: October 28, 2020

Demonstration of left ventricular thrombi with real-time 3-dimensional echocardiography in a patient with

Chi-In Lo1, Sheng-Hsiung Chang, Chung-Lieh Hung

  • 1Division of Cardiology, Department of Internal Medicine, Mackay Memorial Hospital, Taipei, Taiwan.

Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography
|July 10, 2007
PubMed

Insights

Real-time 3D echocardiography visualized dynamic left ventricular thrombi in a patient with cardiomyopathy. Treatment led to complete resolution of cardiac thrombi, highlighting the imaging modality's potential.

Area of Science:

  • Cardiology
  • Medical Imaging

Background:

  • Conventional two-dimensional echocardiography is standard for evaluating left ventricular thrombus.
  • Real-time 3-dimensional echocardiography (RT3DE) offers advanced visualization but is not widely adopted.

Observation:

  • A 35-year-old man with cardiomyopathy, linked to amphetamine and alcohol abuse, presented with abdominal pain and leg ischemia.
  • Computed tomography revealed splenic and renal infarctions, and right femoral artery occlusion.
  • Echocardiography showed left ventricular systolic dysfunction and large left ventricular thrombi.

Findings:

  • RT3DE revealed a unique dynamic pattern of the left ventricular thrombi.
  • Surgical embolectomy and anticoagulation were initiated.
  • Follow-up echocardiography after two months showed complete resolution of the cardiac thrombi.

Implications:

  • This case demonstrates the utility of RT3DE in characterizing complex cardiac thrombi.
  • Successful management highlights the importance of timely intervention and anticoagulation.
  • RT3DE may enhance diagnostic accuracy and guide treatment strategies for left ventricular thrombus.

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