J Cardiovasc Ultrasound.  2014 Jun;22(2):98-99. 10.4250/jcu.2014.22.2.98.

Vanishing Left Ventricular Thrombi in Severe Aortic Stenosis with Dilated Cardiomyopathy

• Kharwar RB
• Dwivedi SK
• Chandra S
• Saran RK

• KMID: 2177472
• DOI: http://doi.org/10.4250/jcu.2014.22.2.98

Abstract

No abstract available.

Keyword

Left ventricular thrombi; Aortic stenosis; Dilated cardiomyopathy

MeSH Terms

Aortic Valve Stenosis*
Cardiomyopathy, Dilated*

Figure

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  Fig. 1 Two dimensional transthoracic echocardiography with color Doppler. Multiple large layered as well as non-layered thrombi in LV marked by * are seen in slightly tilted parasternal long axis view (A) and in short axis view at the papillary muscle level (B). Bicuspid AV is clearly visible in parasternal basal short axis view (C) which was the cause of severe aortic stenosis with a peak velocity of 4.2 m/s on continuous wave Doppler (D). AV: aortic valve, LA: left atrium, LV: left ventricle, RA: right atrium, RV: right ventricle.

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  Fig. 2 Real time three dimensional transthoracic echocardiography with volume rendering. The size, shape, number, mobility, surface characteristics, intracardiac location of thrombi can be clearly delineated in various imaging planes (A and B). Echolucency within the thrombi (arrows in C) is seen suggestive of clot lysis beginning from inside to outside. Bicuspid AV can be delineated in three dimensional full volume zoomed mode (D). Thrombi in LV are marked by *. AV: aortic valve, LA: left atrium, LV: left ventricle.

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  Fig. 3 Two dimensional transthoracic echocardiography after 8 weeks of anticoagulation therapy. The multiple thrombi in the LV cavity have completely disappeared as seen in apical four chamber (A), parasternal long (B), and short axis (C) views. The LV ejection fraction is 25% which has relatively unchanged from the previous reading (D). Ao: aorta, LA: left atrium, LV: left ventricle, RA: right atrium, RV: right ventricle.

Reference

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