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Updated: Jul 5, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques

Published on: June 11, 2019

Free floating thrombus exiting the left ventricle.

Hyungseop Kim¹, Yun-Kyeong Cho, Chang-Wook Nam

¹Division of Cardiology, Department of Internal Medicine, Keimyung University Dongsan Medical Center, 194, Dongsan-dong, Jung-gu, Daegu 700-712, Republic of Korea. khyungseop@dsmc.or.kr

European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology

|May 21, 2008

Summary

A free-floating left ventricular thrombus was identified in a patient with prior myocardial infarction. The thrombus unexpectedly moved from the left ventricle into the aorta during echocardiography.

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Last Updated: Jul 5, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques

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Published on: June 11, 2019

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Published on: January 17, 2025

Area of Science:

Cardiovascular Imaging
Interventional Cardiology
Cardiac Pathology

Background:

Routine echocardiography is crucial for monitoring patients with a history of myocardial infarction.
Left ventricular thrombus formation is a known complication following myocardial infarction.
Assessing the mobility and potential embolic risk of cardiac thrombi is clinically significant.

Observation:

A 75-year-old male patient with prior myocardial infarction presented for routine echocardiography.
Two-dimensional transthoracic echocardiography revealed a mobile, free-floating thrombus within the left ventricular cavity.
The thrombus was observed to transit from the left ventricle into the aorta during the echocardiographic examination.

Findings:

Identification of a mobile left ventricular thrombus.
Demonstration of spontaneous embolization of the left ventricular thrombus into the aorta.
Echocardiographic visualization of thrombus migration through the left ventricular outflow tract.

Implications:

Highlights the potential for spontaneous embolization of left ventricular thrombi.
Underscores the importance of careful echocardiographic assessment of thrombus characteristics, including mobility.
Suggests the need for prompt therapeutic intervention in cases of mobile left ventricular thrombi to prevent systemic embolism.