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Chronic Thromboembolic Pulmonary Hypertension and Assessment of Right Ventricular Function in the Piglet
Published on: November 4, 2015
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Extensive Left Ventricular Thrombosis with Concomitant Pulmonary Embolism.
Annamária Magdás1,2, Cristian Podoleanu2,3, Attila Frigy2,3
1Department of Internal Medicine, County Clinical Hospital Mureș, 1 Gheorghe Marinescu Street, 540103 Târgu Mureș, Romania.
Clinics and Practice
|June 2, 2021
Summary
This case study highlights left ventricular thrombi in a patient with pulmonary embolism and heart failure. Oral anticoagulation effectively resolved these thrombi, even without strict INR monitoring.
Area of Science:
- Cardiology
- Radiology
- Pulmonology
Background:
- A 57-year-old female with a history of smoking, COPD, and hypertension presented with hemoptysis and heart failure symptoms.
- Pulmonary embolism was diagnosed via CT pulmonary angiography, revealing bilateral apical branch involvement.
Observation:
- Transthoracic echocardiography showed an enlarged left ventricle with reduced ejection fraction (25%) and multiple mobile echogenic masses.
- Live 3D imaging confirmed these masses as left ventricular thrombi.
Findings:
- The patient was treated with oral anticoagulant therapy (acenocumarol).
- Successful resolution of left ventricular thrombi was observed despite inconsistent INR control.
Implications:
- This case underscores the importance of comprehensive echocardiographic assessment in patients with pulmonary embolism and heart failure.
- It suggests that oral anticoagulation can be effective in resolving left ventricular thrombi, even with suboptimal INR monitoring in select cases.
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