Two- and three-dimensional echocardiographic imaging of massive left intraventricular thrombosis complicating fatal heart failure
- 作者：Andrea Motto ; Piercarlo Ballo
- 关键词：Echocardiography ; Thrombosis ; Myocardial infarction ; Heart failure
- 刊名：International Journal of Cardiology
- 出版年：2007
- 期刊代码：128_01675273
- 类别：med
- 出版时间：2 March 2007
- 卷：116
- 期：1
- 页码：e10-e12
- 文件大小：396 K
摘要
These images describe a case of massive left ventricular (LV) thrombosis complicating fatal heart failure in a 61 year-old patient with history of myocardial infarction, apical aneurysm, and no previous evidence of LV thrombosis. Two-dimensional echocardiography showed that the thrombus obliterated 34%of LV volume at end-diastole. Three-dimensional echocardiography allowed higher definition of thrombus architecture and dimensions, revealing obliteration of 40%of LV volume at end-diastole. Careful assessment of thromboembolic risk to guide therapeutic decision making should be considered mandatory in subjects with a large extent of wall asynergy, even in those with no previous evidence of LV thrombosis. Three-dimensional echocardiography may be considered an accurate technique for the characterization of LV thrombi in these patients.