Key result
Left ventricular thrombi rarely occur in patients with normal ejection fraction and are best diagnosed by cardiac magnetic resonance and treated with surgical excision when large.
Highlights the rare presentation of a massive mobile left ventricular thrombus in a patient with normal ejection fraction, emphasizing cardiac MRI for diagnosis and surgical excision for treatment.
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May prompt LV thrombus evaluation in embolism despite normal EF; leaves open optimal screening and management strategies.
•Left ventricular thrombi (LVT) formation is associated with impaired LVEF.•LVT are extremely rare among patients with normal ejection fraction.•LVT may be clinically silent but may also present with embolization.•Cardiac magnetic resonance is the gold standard noninvasive test to diagnose LVT.•Large LVT are preferably treated with surgical excision.
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Papadopoulos et al. (2019) studied this question. Left ventricular thrombi rarely occur in patients with normal ejection fraction and are best diagnosed by cardiac magnetic resonance and treated with surgical excision when large.
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