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Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
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A Multiloculated Left Ventricular Thrombus

Dinkar Bhasin1, Gaurav K Arora1, Anunay Gupta1

  • 1Department of Cardiology, Vardhman Mahavir Medical College, Safdarjung Hospital, New Delhi, India.

Journal of the Saudi Heart Association
|February 4, 2021
PubMed

Insights

A 50-year-old man with a history of heart attack experienced worsening heart failure. Echocardiography revealed a left ventricular thrombus at the apex, indicating a potential complication.

Area of Science:

  • Cardiology
  • Medical Imaging

Background:

  • A 50-year-old male presented with advanced heart failure.
  • The patient had a history of anterior wall myocardial infarction nine years prior, leading to severe left ventricular dysfunction.

Purpose of the Study:

  • To describe the case of a patient with worsening heart failure and suspected left ventricular thrombus.

Main Methods:

  • Transthoracic echocardiography was performed.
  • Imaging focused on the left ventricular apex.

Main Results:

  • A mass was identified attached to the akinetic left ventricular apex.
  • The mass exhibited multiple internal hypoechoic loculations.
  • Findings were suggestive of a left ventricular thrombus.

Conclusions:

  • Left ventricular thrombus formation is a potential complication in patients with severe left ventricular dysfunction post-myocardial infarction.
  • Echocardiography is crucial for diagnosing left ventricular thrombus.

Keywords:
Left ventricular dysfunctionLeft ventricular thrombusMyocardial infarctionThrombus

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