Key result
Serial echocardiography demonstrated the benign disappearance of a left ventricular thrombus in a patient with embolic stroke, with no further embolic events occurring on anticoagulation therapy.
Case Report (n=1)
Serial echocardiography can be critical in distinguishing a ventricular thrombus from a tumor by demonstrating the disappearance of the mass.
Supports serial echocardiography for LV thrombus monitoring in embolic stroke; leaves open prospective validation before guiding practice.
The source for a patient's middle cerebral artery territory embolic stroke was found by echocardiography to be a left ventricular cardiac thrombus. The apical mass was large, pedunculated, and moved with systole into the ventricular cavity. The absence of ventricular dyskinesia was thought to favor a tumor, and surgery was considered before repeat echocardiography showed disappearance of the mass, making thrombus the likely diagnosis. No further embolic events occurred during or since the disappearance of the thrombus while on anticoagulation therapy. Serial echocardiography for change in or disappearance of a ventricular mass may be critical in distinguishing thrombus from tumor.
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DeWitt et al. (1988) conducted a case report in Embolic stroke and left ventricular cardiac thrombus (n=1). Anticoagulation therapy was evaluated on Disappearance of the mass and occurrence of further embolic events. Serial echocardiography demonstrated the benign disappearance of a left ventricular thrombus in a patient with embolic stroke, with no further embolic events occurring on anticoagulation therapy.
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