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Updated: Jul 13, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
Published on: June 11, 2019
Left Ventricular Mass in an Oncology Patient and Cocaine User: Metastasis or Thrombus?
Dhan Bahadur Shrestha1, Prakash Raj Oli1,2, Mustafain Meghani1
1Division of Cardiology, Department of Internal Medicine, Bassett Medical Center, Cooperstown, New York, USA, bassett.org.
Background:
Intracardiac thrombus is a common intracardiac mass in patients with left ventricular dysfunction (LVD).
Case Summary:
A man with a history of malignant melanoma presented with emesis and acute left flank pain. He was found to have a left renal infarct and left ventricle (LV) mass, for which he was started on therapeutic anticoagulation. TTE showed a large, mobile mass measuring 2.5 × 2.0 cm in the LV cavity, with LVD. Cardiac metastasis was suspected, and surgical intervention was planned, but preoperative TEE could not reveal the LV mass seen previously, canceling the planned thoracotomy.
Discussion:
He had patent coronary arteries; therefore, cardiomyopathy was likely due to cocaine use, which might induce thrombosis within the dysfunctional LV. Medical management with therapeutic anticoagulation, along with guideline-directed medical therapy for LVD, continued.
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