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A young man with heart failure, diffuse cardiac thrombi, and stroke
Dorinna D Mendoza1, Thanh D Nguyen, Bradley B Pua
1Division of Cardiology/Department of Medicine, Weill Cornell Medical College, New York, NY 10021, USA.
Journal of Thoracic Imaging
|July 17, 2010
Summary
Delayed enhancement cardiac magnetic resonance imaging (DE-CMR) aids in detecting cardiac thrombus, a cause of thromboembolic events. This case highlights DE-CMR
Area of Science:
- Cardiovascular Imaging
- Radiology
- Thrombosis Research
Background:
- Cardiac thrombus formation is a significant risk factor for thromboembolic events.
- Accurate detection of cardiac thrombus is crucial for effective patient management.
- Echocardiography is a common imaging modality, but may have limitations in thrombus detection.
Observation:
- A young male patient presented with a cerebrovascular stroke.
- Diagnostic workup revealed the presence of thrombus within cardiac chambers.
- Delayed enhancement cardiac magnetic resonance imaging (DE-CMR) was utilized for detailed cardiac assessment.
Findings:
- DE-CMR demonstrated superior detection of cardiac thrombus compared to standard anatomic imaging.
- The imaging technique successfully identified thrombi in both left and right cardiac chambers.
- Avascular tissue properties, visualized by DE-CMR, were key to thrombus identification.
Implications:
- DE-CMR offers incremental diagnostic value in identifying cardiac thrombus, especially in complex cases.
- This imaging modality can improve the diagnosis of thromboembolic event origins.
- Findings suggest a broader application of DE-CMR in evaluating patients with suspected cardiac thrombus and embolic events.
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