From swirling to a mobile, pedunculated mass - The evolution of left ventricular thrombus despite full anticoagulation: Echocardiographic demonstration

M. Glikson, O. Agranat, Z. Ziskind, E. Kaplinski, Z. Vered

Research output: Contribution to journalArticlepeer-review

Abstract

We describe the unusual evolution of a left ventricular thrombus following acute anterior myocardial infarction despite adequate anticoagulation. Serial echocardiographic examinations demonstrated the evolution from swirling in the left ventricle through a solid apical mass gradually dislodging into a mobile, pedunculated mass that was removed surgically to prevent embolization. This report emphasizes the need to follow echocardiographically left ventricular thrombi during treatment with anticoagulants, and to identify morphologic changes that may predict embolization. This case suggests that left ventricular thrombectomy should be considered in selected patients in whom a very high-risk thrombus morphology is detected.

Original languageEnglish
Pages (from-to)281-283
Number of pages3
JournalChest
Volume103
Issue number1
DOIs
StatePublished - 1993

Fingerprint

Dive into the research topics of 'From swirling to a mobile, pedunculated mass - The evolution of left ventricular thrombus despite full anticoagulation: Echocardiographic demonstration'. Together they form a unique fingerprint.

Cite this