A Rare Case of a Large Intracavitary Cardiac Thrombus

Jeffrey Brian Ziffra, Gholam Zadeii

Abstract


Cardiac thrombi often present as a homogenous echodensity on cardiac imaging that may be incidentally discovered. A thrombus must be differentiated from vegetations, tumors and normal variant anatomy as their treatments are different. Cardiac thrombi are often located in cardiac chambers, most commonly the left atrium and left atrial appendage, where there is more stagnant blood flow. Thrombi may also form in structurally altered cardiac chambers as well as seen in dilated cardiomyopathy and in ventricular aneurysms. Symptoms, if present, may vary from dyspnea, angina and compressive symptoms. Currently, transthoracic echocardiography, transesophageal echocardiography and magnetic resonance imaging (MRI) are the accepted modalities to evaluate cardiac masses. MRI has been used with more frequency due to its ability to delineate mass borders, determine endocardial involvement and in its ability to detect blood flow. Few cases have been described of a large cardiac thrombus extending through the valves to include multiple chambers. In our case presentation, we describe a 91-year-old female with no significant cardiac history who presented with a non-ST elevation myocardial infarction where a transthoracic echocardiogram revealed a large intracavitary thrombus.




J Med Cases. 2016;7(7):303-306
doi: http://dx.doi.org/10.14740/jmc2553w


Keywords


Cardiology; Thrombus; Echocardiography

Full Text: HTML PDF
 

Browse  Journals  

 

Journal of Clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics

 

World Journal of Oncology

Gastroenterology Research

Journal of Hematology

 

Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity

 

Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research

 

Journal of Neurology Research

International Journal of Clinical Pediatrics

 

 
       
 

Journal of Medical Cases, monthly, ISSN 1923-4155 (print), 1923-4163 (online), published by Elmer Press Inc.                     
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)


This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website: www.journalmc.org   editorial contact: editor@journalmc.org    elmer.editorial@hotmail.com
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.


Disclaimer: The views and opinions expressed in the published articles are those of the authors and do not necessarily reflect the views or opinions of the editors and Elmer Press Inc. This website is provided for medical research and informational purposes only and does not constitute any medical advice or professional services. The information provided in this journal should not be used for diagnosis and treatment, those seeking medical advice should always consult with a licensed physician.