Premium
Incremental value of contrast echocardiography in the evaluation of a cardiac thrombus
Author(s) -
Po Jose Ricardo F.,
Tong Matthew S.,
Grove Erica L.,
Biederman Robert W. W.
Publication year - 2017
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.13431
Subject(s) - thrombus , medicine , cardiology , radiology , chest pain , electrocardiography , contrast (vision) , artificial intelligence , computer science
A 52‐year‐old man presented with altered mental status and report of prior complaint of chest pain. On electrocardiography, anterolateral ST ‐segment elevations with Q‐waves in the septal leads were seen. Initial echocardiography images demonstrated a thickened anteroseptum. Further imaging showed the presence of a well‐attached laminated apical thrombus. Contrast echocardiography images showed that the thrombus had minimal attachment to the endocardial surface. CT head subsequently showed the presence of acute stroke. The case demonstrates the additional value of contrast echocardiography in the evaluation of cardiac masses despite the certainty in the diagnosis of a thrombus.