Embolization of an Intracardiac Thrombus During a Cardiovascular Magnetic Resonance Imaging Study | Zendy

Christine Mancini | Zendy; Satish Kenchaiah | Zendy; Edward Bodurian | Zendy; Andrew E. Arai | Zendy; W. Patricia Bandettini | Zendy

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Embolization of an Intracardiac Thrombus During a Cardiovascular Magnetic Resonance Imaging Study

Author(s) -

Christine Mancini,

Satish Kenchaiah,

Edward Bodurian,

Andrew E. Arai,

W. Patricia Bandettini

Publication year - 2011

Publication title -

circulation

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 7.795

H-Index - 607

eISSN - 1524-4539

pISSN - 0009-7322

DOI - 10.1161/circulationaha.110.983916

Subject(s) - medicine , intracardiac injection , magnetic resonance imaging , thrombus , radiology

An active 60-year-old man presented with a 3-month history of palpitations and a sudden discomfort in the right foot with subsequent coolness and numbness of the right toes. The patient was in atrial flutter with a ventricular rate of 136 beats/min. An echocardiogram showed moderate to severe left ventricular (LV) systolic dysfunction with an ejection fraction of 30%. A spherical echo density measuring 2.2 cm was noted in the LV apex. This mass was suggestive of an LV thrombus. The patient was admitted to the hospital for anticoagulation using warfarin, enoxaparin, and aspirin. A cardiothoracic surgical consult was obtained to discuss the option of surgical removal of the thrombus or a course of anticoagulants, and a cardiovascular magnetic resonance imaging study was requested for tissue characterization of the mass.The cardiovascular magnetic resonance examination was started at 1:43 pm. Routine cine …

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