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Large Mobile pedunculated left ventricular thrombus: identification by two-dimensional echocardiography
Clinical Cardiology
|July 1, 1981
Summary
Left ventricular thrombus can be detected noninvasively using echocardiography. A large, mobile thrombus causing stroke despite anticoagulation may necessitate surgical removal.
Area of Science:
- Cardiology
- Medical Imaging
Background:
- Two-dimensional echocardiography enables noninvasive assessment of left ventricular thrombus.
- Idiopathic congestive cardiomyopathy can lead to left ventricular thrombus formation.
Observation:
- A case of a large, pedunculated, mobile left ventricular thrombus developed in a patient with idiopathic congestive cardiomyopathy.
Findings:
- The patient experienced a fatal cerebral embolization.
- The embolization occurred despite full-dose intravenous anticoagulation therapy.
Implications:
- Large, mobile left ventricular thrombi pose a significant risk of embolization.
- Surgical intervention may be required for left ventricular thrombi in cases of embolization, even with adequate anticoagulation.