Point-of-Care Ultrasound Diagnosis of Left Ventricular Thrombus: A Case Series

Figures

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  Figure 1. Electrocardiogram showing sinus tachycardia with a known right bundle branch block (Case 1)

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  Figure 2. An apical four-chamber view of the left ventricle in Case 1, obtained using a phased array probe, demonstrating a left ventricular thrombus (outlined in white circle).

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  Figure 3. Initial electrocardiogram obtained in Case 2, notable for ST segment elevation in leads V2-V6 without reciprocal changes.

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  Figure 4. An apical four-chamber view of the left ventricle in Case 2, obtained using a phased array probe, demonstrating left ventricular aneurysm with a left ventricular thrombus (outlined in white circle).

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  Figure 5. CT findings in Case 3 (A) Non-contrast head CT demonstrating subtle loss of gray-white differentiation in the left frontal cortex (white arrow); (B) CT angiography demonstrating abrupt cutoff in the superior left M2 distribution (black arrow).

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  Figure 6. Electrocardiogram in Case 3 revealing inverted T waves in leads V2-6, along with very subtle STE in aVR

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  Figure 7. An apical four-chamber view of the left ventricle in Case 3, obtained using a phased array probe, demonstrating a small echogenic mass that is concerning for left ventricular thrombus.

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  Figure 8. Cardiac magnetic resonance imaging in Case 3, revealing a discrete thrombus (white arrow) within the left ventricle.

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  Figure 9. (A) An apical four-chamber view of the left ventricle obtained using a phased-array probe, which shows a papillary muscle that appears free-floating and may be misinterpreted as a thrombus; (B) The same apical four-chamber view, now revealing that the papillary muscle is connected to the ventricular wall. Image Credit: Original images by authors