Key result
POCUS expedites diagnosis of rare biventricular thrombus in cardiogenic shock enabling successful conservative management.
Why the study?
There is a current lack of clear guidance for managing decompensated heart failure complicated by simultaneous left and right ventricular thrombi.
Case Report (n=1)
POCUS is valuable in first-contact acute care for expediting the diagnosis of complex conditions like biventricular thrombus presenting as cardiogenic shock.
May support POCUS in acute cardiogenic shock evaluation; leaves open prospective validation before broader adoption.
We report a rare case of biventricular thrombus presenting as cardiogenic shock with decompensated heart failure and abdominal pain in a previously healthy individual. Diagnosis was expedited using point-of-care ultrasound (POCUS), which revealed right heart strain, biventricular thrombi, and features of volume overload. The patient was managed conservatively with anticoagulation, diuretics, and supportive care and eventually transitioned to long-term oral anticoagulation. This case highlights the diagnostic value of bedside ultrasound (POCUS) in first-contact acute care and the current lack of clear guidance for managing decompensated heart failure with simultaneous left and right ventricular thrombi.
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Sogiawalla et al. (2026) conducted a case report in Biventricular thrombus complicating cardiogenic shock (n=1). Point-of-care ultrasound (POCUS) and conservative management (anticoagulation, diuretics) was evaluated. Point-of-care ultrasound (POCUS) expedited the diagnosis of a rare biventricular thrombus in a patient with cardiogenic shock, leading to successful conservative management with anticoagulation.
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