Case Report (n=1)
No
A multimodality imaging approach and multidisciplinary shared decision-making can successfully differentiate left ventricular thrombus from metastasis in complex patients, avoiding unnecessary surgical interventions.
Answers are grounded in this paper and cite their sources.
Supports anticoagulation trial before surgery in LV thrombus with cocaine cardiomyopathy; leaves open need for prospective studies.
Background Intracardiac thrombus is a common intracardiac mass in patients with left ventricular dysfunction (LVD). Case Summary A man with a history of malignant melanoma presented with emesis and acute left flank pain. He was found to have a left renal infarct and left ventricle (LV) mass, for which he was started on therapeutic anticoagulation. TTE showed a large, mobile mass measuring 2.5 × 2.0 cm in the LV cavity, with LVD. Cardiac metastasis was suspected, and surgical intervention was planned, but preoperative TEE could not reveal the LV mass seen previously, canceling the planned thoracotomy. Discussion He had patent coronary arteries; therefore, cardiomyopathy was likely due to cocaine use, which might induce thrombosis within the dysfunctional LV. Medical management with therapeutic anticoagulation, along with guideline‐directed medical therapy for LVD, continued.
No takes yet. Share an insight, caveat, or question.
Shrestha et al. (2026) conducted a case report in Left ventricular thrombus and cocaine-induced cardiomyopathy (n=1). Therapeutic anticoagulation (heparin transitioned to apixaban) was evaluated on Reduction in LV mass size.
Synapse has enriched 10 related papers. Consider them for comparative context: