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(Circulation. 1998;97:412.)
© 1998 American Heart Association, Inc.

Images in Cardiovascular Medicine

Left Ventricular Thrombus

Imran Chaudry, MD; Vasco Marques, MD; ; Robert J. Ruffner, MD

From the Division of Cardiology, University of Pittsburgh Medical Center Shadyside, Shadyside Hospital, Pittsburgh, PA.

Correspondence to Imran Chaudry, Division of Cardiology, UPMC-Shadyside, 5230 Centre Ave, Pittsburgh, PA 15232.

A37-year-old white man with a past medical history of mental retardation, hypertension, and insulin-dependent diabetes mellitus was admitted to a regional hospital with uncontrolled hypertension, nausea, and vomiting. Two days after admission, the patient developed ischemia in the right lower extremity, for which he underwent right femoral embolectomy. An echocardiogram revealed regional wall motion abnormalities and a large, loose thrombus in the left ventricular cavity, as shown in the figure. A coronary angiogram showed three-vessel disease. The patient subsequently underwent coronary artery bypass graft surgery and removal of the thrombus from the left ventricle. He was discharged on day 7 after surgery in stable condition.

View larger version (112K): [in this window] [in a new window]   Figure 1. Echocardiogram showing a large, loose thrombus in the left ventricular cavity.

Footnotes

The editor of Images in Cardiovascular Medicine is Hugh A. McAllister, Jr, MD, Chief, Department of Pathology, St Luke's Episcopal Hospital and Texas Heart Institute, and Clinical Professor of Pathology, University of Texas Medical School and Baylor College of Medicine.

Circulation encourages readers to submit cardiovascular images to Dr Hugh McAllister, Jr, St Luke's Episcopal Hospital and Texas Heart Institute, 6720 Bertner, MC1-267, Houston, TX 77030.