Related Experiment Video
Updated: Jun 12, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
Published on: June 11, 2019
Calcified right intraventricular thrombus in a patient with systemic lupus erythematous and antiphospholipid syndrome
Márcio Sommer Bittencourt1, Martin Seltmann, Gerd Muschiol
1Department of Cardiology, University of Erlangen-Nürnberg, Germany; Internal Medicine Division, University Hospital, University of São Paulo Medical School, Butantã, CEP: 05508-000, São Paulo, Brazil. msbittencourt@bol.com.br
Abstract:
A 37-year-old patient with known systemic lupus erythematous, antiphospholipid syndrome and previous pulmonary embolism presented with non-ST elevation myocardial infarction while on adequate anticoagulation therapy. The patient was further evaluated with cardiac computed tomography. A small diagonal branch occlusion was the only coronary lesion present. A partially calcified right ventricular thrombus was incidentally found. Because of the small vessel size, cardiac catheterization was deemed unnecessary, and the patient was discharged with adjustment of immunosuppressive therapy and anticoagulation.
Related Concept Videos
Endocarditis II: Clinical Features of Infective Endocarditis
Rheumatic Heart Disease I: Introduction
Venous Thrombosis I: Introduction
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
Venous Thrombosis III: Interprofessional Care
Cardiac Catheterization II: Right Heart Catheterization

