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Updated: Feb 3, 2026

Evaluation of Left Ventricular Structure and Function using 3D Echocardiography
Published on: October 28, 2020
Three-dimensional echocardiography demonstrates a skewered left ventricular thrombus in a patient with a heart
Michael P Gannon1, Shahryar G Saba1,2, Benjamin J Hirsh1
1Department of Cardiology, North Shore University Hospital, Zucker School of Medicine at Hofstra Northwell, Manhasset, New York.
Abstract:
A left ventricular (LV) false tendon is a frequently visualized structure in echocardiography with unclear clinical significance. We present the case of a false tendon serving as a nidus for thrombus in a post-orthotopic heart transplantation patient. Three-dimensional transthoracic echocardiography (3DTTE) was utilized to visualize a LV mass and facilitate its identification as a thrombus as well as the surrounding structures. Using datasets from 3DTTE, the lack of ventricular wall attachment and circumferential formation of the thrombus around the false tendon was identified. Serial imaging demonstrated resolution of the thrombus with anticoagulation.
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