Extensive Left Ventricular Thrombosis with Concomitant Pulmonary Embolism

Abstract

A 57-year-old non-obese female patient with a history of heavy smoking, chronic obstructive pulmonary disease and hypertension was admitted to the hospital as an emergency for acute hemoptysis and signs of congestive heart failure. To assess the source of hemoptysis, computed tomography (CT) pulmonary angiography was performed, which confirmed a bilateral pulmonary embolism of the apical branches. The routinely performed transthoracic echocardiography (TTE) revealed an enlarged left ventricle with severely reduced ejection fraction (EF = 25%) due to global hypokinesia and multiple, mobile, echogenic masses. To increase the diagnostic accuracy, real-time three-dimensional (Live 3D) imaging of the masses was added which described multiple left ventricular (LV) thrombi. Successful resolution of intraventricular thrombi was noticed after treatment with oral anticoagulant therapy (acenocumarol), despite the lack of regular INR control.

Frequency of Left Ventricular Thrombus in Patients With Acute Anterior Wall Myocardial Infarction

“…Acute anterior wall myocardial infarction (MI) is a potentially life-threatening condition that requires prompt and appropriate management (Singh et al, 2021). One of the possible complications of this condition is the formation of a blood clot in the heart's left ventricle, known as a left ventricular thrombus (LVT) (Magdás et al, 2021). LVTs can cause serious complications, including embolic stroke, peripheral arterial embolization, and pulmonary embolism.…”