Document Detail

Two-dimensional echocardiographic detection of biventricular thrombi.
MedLine Citation:
PMID:  7570124     Owner:  NLM     Status:  MEDLINE    
A 42-year-old man presented with acute myocardial infarction. The ECG on admission to hospital showed "Q wave" inferior myocardial infarction and "non-Q wave" anterior infarction. Subsequently, he was readmitted to hospital on many different occasions for cardiac failure. About 15 months after the patient was first seen, two-dimensional echocardiogram (2D echo) showed dilatation of all 4 cardiac chambers and severe global hypokinesia of the left ventricle. In addition, a large echo dense mass was seen at the apex of the left ventricle and 2 smaller echo dense masses were present at the right ventricular apex. The echocardiographic characteristics of these 3 masses strongly suggest that they represent mural thrombi. Two-dimensional echocardiographic detection of biventricular thrombi has rarely been described in the past. This case together with the previously reported case by Friedman and Buda suggest that 2D echo may be a valuable test for the diagnosis of biventricular thrombi.
B L Chia; P H Chew; C S Soo
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Singapore medical journal     Volume:  36     ISSN:  0037-5675     ISO Abbreviation:  Singapore Med J     Publication Date:  1995 Feb 
Date Detail:
Created Date:  1995-10-30     Completed Date:  1995-10-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0404516     Medline TA:  Singapore Med J     Country:  SINGAPORE    
Other Details:
Languages:  eng     Pagination:  110-1     Citation Subset:  IM    
Department of Medicine, National University Hospital, Singapore.
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MeSH Terms
Heart Diseases / complications,  ultrasonography*
Heart Ventricles / ultrasonography
Myocardial Infarction / diagnosis,  etiology
Thrombosis / complications,  ultrasonography*

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