Extensive Left Ventricular Thrombosis with Concomitant Pulmonary Embolism

A 57-year-old non-obese female patient with a history of heavy smoking, chronic obstructive pulmonary disease and hypertension was admitted to the hospital as an emergency for acute hemoptysis and signs of congestive heart failure. To assess the source of hemoptysis, computed tomography (CT) pulmona...

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Bibliographic Details
Published in:Clinics and practice 2021-05, Vol.11 (2), p.303-308
Main Authors: Magdás, Annamária, Podoleanu, Cristian, Frigy, Attila
Format: Article
Language:English
Subjects:
3D echocardiography
Anticoagulants
Blood clots
Cardiomyopathy
Case Report
Disease
Ejection fraction
Embolization
Heart attacks
Heart failure
Hospitals
Medical imaging
Mortality
pulmonary embolism
Pulmonary embolisms
Sinuses
thrombi
Thrombosis
Transient ischemic attack
Ultrasonic imaging
ventricle
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Summary:A 57-year-old non-obese female patient with a history of heavy smoking, chronic obstructive pulmonary disease and hypertension was admitted to the hospital as an emergency for acute hemoptysis and signs of congestive heart failure. To assess the source of hemoptysis, computed tomography (CT) pulmonary angiography was performed, which confirmed a bilateral pulmonary embolism of the apical branches. The routinely performed transthoracic echocardiography (TTE) revealed an enlarged left ventricle with severely reduced ejection fraction (EF = 25%) due to global hypokinesia and multiple, mobile, echogenic masses. To increase the diagnostic accuracy, real-time three-dimensional (Live 3D) imaging of the masses was added which described multiple left ventricular (LV) thrombi. Successful resolution of intraventricular thrombi was noticed after treatment with oral anticoagulant therapy (acenocumarol), despite the lack of regular INR control.
ISSN:2039-7283
2039-7275
2039-7283
DOI:10.3390/clinpract11020043