Chronic left ventricular apical thrombosis complicating isolated left ventricular noncompaction in a patient with human immunodeficiency virus infection

See PDF.] a Apical four-chamber view on transthoracic echocardiography (A4C) reveals a thrombus (35 × 24 mm) in the left ventricular apex (LVA) (orange arrowhead). b Color Doppler echocardiographic parasternal short-axis view (PSAX) at the LVA level shows abnormal trabeculae (yellow arrowhead) and a...

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Bibliographic Details
Published in:Journal of medical ultrasonics (2001) 2023-04, Vol.50 (2), p.255-257
Main Authors: Kato, Toshimitsu, Koitabashi, Norimichi, Sano, Yukie, Yanagisawa, Kunio, Ogawa, Yoshiyuki, Saitoh, Takayuki, Ishii, Hideki
Format: Article
Language:English
Subjects:
Anticoagulants
Blood clot
Blood clots
Cardiomyopathy
Conflicts of interest
Echocardiography
Ejection fraction
Embolisms
Emtricitabine
Heart Defects, Congenital
HIV
HIV infection
HIV Infections - complications
HIV patients
Human immunodeficiency virus
Humans
Image–Cardiology
Imaging
Immune system
Infection
Infection control
Infections
Magnetic resonance imaging
Medicine
Medicine & Public Health
Myocarditis
Radiology
Thrombosis
Thrombosis - complications
Thrombosis - diagnostic imaging
Ultrasound
Virus diseases
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Summary:See PDF.] a Apical four-chamber view on transthoracic echocardiography (A4C) reveals a thrombus (35 × 24 mm) in the left ventricular apex (LVA) (orange arrowhead). b Color Doppler echocardiographic parasternal short-axis view (PSAX) at the LVA level shows abnormal trabeculae (yellow arrowhead) and a thrombus (orange arrowhead), which fulfill the diagnostic criteria of isolated left ventricular noncompaction (ILVNC). c, d Six and 8 months later, A4C demonstrates the reduced size of the thrombus (8 × 6 mm and 5 × 4 mm, respectively) (orange arrowhead). e A year later, A4C demonstrates the chronic organized thrombus (orange arrowhead). f Speckle-tracking echocardiography is performed to distinguish ILVNC and mere noncompaction-like prominent trabeculae observed in dilated cardiomyopathy after recovery of LVEF. LV mid-wall enhancement by LGE-CMR in patients with HIV has been reported [5]. [...]a chronically organized thrombus was formed (Fig. 1e). Declarations Conflict of interest Toshimitsu Kato, Norimichi Koitabashi, Yukie Sano, Kunio Yanagisawa, Yoshiyuki Ogawa, Takayuki Saitoh, and Hideki Ishii declare that they have no conflicts of interest.
ISSN:1346-4523
1613-2254
DOI:10.1007/s10396-023-01283-1