A 79-year-old male was admitted to the hospital for acute exacerbation of heart failure. The patient had history of atrial fibrillation and was planned for cardioversion. Preprocedure transesophageal echocardiogram (TEE) large lv thrombus revealed a large multilobulated mobile thrombus in the left atrial appendage. The patient refused warfarin therapy and instead chose to take rivaroxaban.
Importance Left ventricular (LV) thrombus is a complication of acute myocardial infarction (MI) and is associated with systemic thromboembolism. With randomized clinical trials investigating the optimal antithrombotic regimen in patients with MI who require concomitant chronic anticoagulation and with the large lv thrombus emergence of the direct-acting oral anticoagulants, treatment options for post-MI LV ...
Apr 24, 2019 · Left ventricular (LV) thrombus is a common problem that is encountered in patients who survived from a large myocardial infarction, and distal systemic embolization is the main issue in these patients due to its major clinical consequences especially cerebrovascular stroke.
Jan 27, 2020 · Late presentation MI with proximally occluded LAD on coronary angiography. LVgram shows dyskinetic apex with suspected LV thrombus. Echo confirms large mobile LV Thrombus.
Since the late 1970s cross sectional echocardiography has been the method of choice for the detection of left ventricular thrombus. This is largely due to the high sensitivity (92–95%) and specificity (86–88%) of echocardiography in the detection of left ventricular thrombus. Cross sectional echocardiography also provides large lv thrombus an indication of the size, shape, mobility, location, and point of ...
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