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Three‐dimensional echocardiography demonstrates a skewered left ventricular thrombus in a patient with a heart transplant
Author(s) -
Gan Michael P.,
Saba Shahryar G.,
Hirsh Benjamin J.,
Halperin Jonathan L.,
Garcia Mario J.,
Pinney Sean P.,
Goldman Martin E.
Publication year - 2018
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.14158
Subject(s) - thrombus , medicine , left ventricular thrombus , cardiology , heart transplantation , ventricular assist device , radiology , heart failure
A left ventricular ( LV ) false tendon is a frequently visualized structure in echocardiography with unclear clinical significance. We present the case of a false tendon serving as a nidus for thrombus in a post‐orthotopic heart transplantation patient. Three‐dimensional transthoracic echocardiography (3 DTTE ) was utilized to visualize a LV mass and facilitate its identification as a thrombus as well as the surrounding structures. Using datasets from 3 DTTE , the lack of ventricular wall attachment and circumferential formation of the thrombus around the false tendon was identified. Serial imaging demonstrated resolution of the thrombus with anticoagulation.