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Updated: May 26, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
Published on: June 11, 2019
[Ball thrombus induced by hibernating myocardium in the left ventricle; report of a case]
Satoshi Kuroyanagi1, Katsushi Ueyama, Yuko Tsuda
1Department of Cardiovascular Surgery, Kanazawa Cardiovascular Hospital, Kanazawa, Japan.
Insights
A rare left ventricle (LV) ball thrombus without myocardial infarction was found in an 80-year-old man. Prompt coronary artery bypass grafting (CABG) and thrombus excision led to improved LV function.
Area of Science:
- Cardiology
- Cardiovascular Surgery
Background:
- Left ventricle (LV) ball thrombus is a rare condition.
- Often associated with myocardial infarction, but can occur without it.
Observation:
- An 80-year-old male presented with an incidentally discovered LV ball thrombus.
- Coronary angiogram showed severe triple vessel disease and LV dysfunction.
- Akinetic septal and apical wall motion was noted without signs of myocardial infarction.
Findings:
- Diagnosis of acute LV ball thrombus with hibernating myocardium due to left anterior descending coronary artery ischemia.
- Successful emergency coronary artery bypass grafting (CABG) and thrombus excision.
- Significant improvement in LV function two weeks post-surgery.
Implications:
- Hibernating myocardium may be a cause of LV ball thrombus in the absence of myocardial infarction.
- Early surgical intervention can lead to favorable outcomes.
- Highlights the importance of considering non-ischemic causes for LV thrombus.
Abstract:
An 80-year-old man was admitted to our hospital for examination of a ball thrombus incidentally found in the left ventricle (LV). Coronary angiogram revealed severe triple vessel disease and LV dysfunction. Although LV wall motion in the septum and the apex was akinetic, there were no signs of myocardial infarction. It was diagnosed as an acute LV ball thrombus with hibernating myocardium due to ischemia of the left anterior descending coronary artery. Emergency coronary artery bypass grafting (CABG) and excision of the thrombus were performed. Two weeks after surgery, LV function improved and the patient was discharged from the hospital without any complication. A LV ball thrombus without myocardial infarction is rare, and thought to be caused by hibernating myocardium.
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