Computed tomography with intravenous contrast provided excellent definition of intraventricular thrombi in four patients, offering advantages over contrast ventriculography and echocardiography.
Case Report (n=4)
Does computed tomography with intravenous contrast detect intraventricular thrombi in patients with recent myocardial infarction or right ventricular patches?
CT with intravenous contrast is an effective imaging modality for detecting intraventricular thrombi, offering potential advantages over echocardiography and ventriculography.
Intraventricular thrombosis (usually occurring after myocardial infarction) can lead to embolization, with serious consequences. Angiocardiography and two-dimensional echocardiography both are limited in their ability to detect intraventricular thrombi. Computed tomography (CT) with intravenous administration of contrast material gave excellent definition of intraventricular thrombi in three patients with recent myocardial infarctions and in one patient with a pericardial patch of the right ventricular apex. A ventricular mural thrombus was detected in a dog after an experimentally induced myocardial infarction. CT offers some advantages over contrast ventriculography and echocardiography in detecting intraventricular thrombosis.
Godwin et al. (1981) conducted a case report in Intraventricular thrombosis (n=4). Computed tomography (CT) with intravenous contrast vs. Contrast ventriculography and echocardiography was evaluated on Detection of intraventricular thrombi. Computed tomography with intravenous contrast provided excellent definition of intraventricular thrombi in four patients, offering advantages over contrast ventriculography and echocardiography.