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Giant Pedunculated Thrombus with Normal Left Ventricular Systolic Function Mimicking Myxoma
Author(s) -
Allende Norberto G.,
Sokn Fernando,
Borracci Raúl,
Milani Arnaldo,
Kusselevski Ana,
Camilletti Jesus,
Trongé Jorge,
Hector Perelmuter
Publication year - 2011
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/j.1540-8175.2010.01262.x
Subject(s) - ventriculotomy , medicine , cardiology , thrombus , transthoracic echocardiogram , chest pain , myxoma , left ventricular thrombus , radiology , ventricle
A 74‐year‐old woman with a history of essential thrombocythemia was admitted to the Coronary Care Unit because of atypical chest pain. The transthoracic echocardiogram showed normal left ventricular (LV) diameter and preserved regional and global systolic function. A pedunculated mobile mass measuring 25 mm × 14 mm was visualized in the LV cavity, attached to the midanterior wall. Because of the typical echocardiographic appearance, a myxoma was suspected. The patient evolved with left hemiparesis and negative T‐waves in the electrocardiogram. Left ventriculotomy with excision of the ventricular mass was performed. Histopathological examination revealed an organized thrombus. (Echocardiography 2011;28:E31‐E33)