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European Journal of Echocardiography Advance Access originally published online on September 29, 2009
European Journal of Echocardiography 2009 10(8):989-990; doi:10.1093/ejechocard/jep107
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

Massive intraventricular thrombi in a previously healthy 43-year-old male

Ewa Szymczyk*, Piotr Lipiec and Jaroslaw Kasprzak

2nd Chair and Department of Cardiology, Medical University of Lodz, Poland

Received 19 July 2009; accepted after revision 17 August 2009; online publish-ahead-of-print 29 September 2009.

* Corresponding author. Tel: +48 691 447 445. E-mail address: eszymczyk{at}ptkardio.pl


  Abstract

We report a case of 43-year-old previously healthy male admitted to our hospital with symptoms of heart failure. Two-dimensional echocardiography demonstrated a previously undiagnosed dilated cardiomyopathy and massive left intraventricular thrombi. Because patient did not give consent for surgical thrombectomy, thrombolytic treatment with streptokinase was introduced. In the further course of hospitalization, ischaemic stroke was diagnosed despite the resolution of intracardiac thrombi observed on serial control echocardiography.

Keywords: Mobile left ventricular thrombus; Streptokinase


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