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European Journal of Echocardiography 2007 8(1):67-70; doi:10.1016/j.euje.2005.12.005
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Copyright © 2005, The European Society of Cardiology

The vanishing vast ventricular thrombus

Lindsey Tilling* and Harald Becher

Department of Cardiology, John Radcliffe Hospital, Headley Way, Headington, Oxford OX3 9DU, UK

Received 13 September 2005; received in revised form 24 November 2005; accepted after revision 4 December 2005.

* Corresponding author. Tel.: +0044 1865 741166. lindseytilling{at}hotmail.com


  Abstract

A 54-year old man presented with multiple pulmonary emboli and an incidental finding of a huge left ventricular thrombus. Transthoracic echo images demonstrated a globally dilated heart with very poor left ventricular function. It was elected to manage the patient medically, and he was commenced on warfarin therapy, resulting in completed resolution of the thrombus over 10 weeks. No underlying cause was found and he did not experience any further embolic events. This illustrates a rare case of a large ventricular thrombus in a patient with no underlying risk factors.

Keywords: Left ventricular thrombus


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