Biventricular Thrombus Complicating Cardiogenic Shock: A Point-of-care Ultrasound-guided Diagnosis and Management

Key Result

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.

Key Points

• To illustrate the use of point-of-care ultrasound (POCUS) for diagnosing biventricular thrombus in cardiogenic shock.
• Case report of a previously healthy individual presenting with cardiogenic shock.
• Diagnosis was performed using point-of-care ultrasound to assess right heart strain and thrombi.
• Management included anticoagulation, diuretics, and supportive care.
• Biventricular thrombi were confirmed using point-of-care ultrasound.
• Patient responded to conservative management with gradual improvement.
• Successful transition to long-term oral anticoagulation was achieved.