A young man with heart failure, diffuse cardiac thrombi, and stroke

Journal of Thoracic Imaging
Dorinna D MendozaJonathan W Weinsaft

Abstract

A cardiac thrombus provides a substrate for thromboembolic events. Delayed enhancement cardiac magnetic resonance imaging detects a thrombus based on avascular tissue properties, and has been shown to provide improved detection of a left ventricular thrombus, compared with anatomic imaging using echocardiography. We present a case of a young man with cerebrovascular stroke in whom delayed enhancement cardiac magnetic resonance provided incremental diagnostic utility for identification of a thrombus within both the left-sided and right-sided cardiac chambers.

References

Apr 3, 1998·Journal of the American College of Cardiology·L S Koniaris, S Z Goldhaber
Dec 19, 1998·Journal of the American College of Cardiology·U IkedaK Shimada
Nov 20, 2002·AJR. American Journal of Roentgenology·Jörg BarkhausenJörg F Debatin
Oct 24, 2006·Nature Clinical Practice. Neurology·Ralph L Sacco

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