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- Title
Incremental value of contrast echocardiography in the evaluation of a cardiac thrombus.
- Authors
Po, Jose Ricardo F.; Tong, Matthew S.; Grove, Erica L.; Biederman, Robert W. W.
- Abstract
A 52-year-old man presented with altered mental status and report of prior complaint of chest pain. On electrocardiography, anterolateral ST-segment elevations with Q-waves in the septal leads were seen. Initial echocardiography images demonstrated a thickened anteroseptum. Further imaging showed the presence of a well-attached laminated apical thrombus. Contrast echocardiography images showed that the thrombus had minimal attachment to the endocardial surface. CT head subsequently showed the presence of acute stroke. The case demonstrates the additional value of contrast echocardiography in the evaluation of cardiac masses despite the certainty in the diagnosis of a thrombus.
- Subjects
THROMBOSIS diagnosis; STROKE-related mortality; CHEST pain; COMPUTED tomography; ECHOCARDIOGRAPHY; ELECTROCARDIOGRAPHY; ENDOCARDIUM; HEART; PSYCHOSOCIAL factors; CONTRAST media
- Publication
Echocardiography, 2017, Vol 34, Issue 2, p296
- ISSN
0742-2822
- Publication type
Article
- DOI
10.1111/echo.13431