Three-dimensional echocardiography demonstrates a skewered left ventricular thrombus in a patient with a heart transplant

Michael P. Gannon, Shahryar G. Saba, Benjamin J. Hirsh, Jonathan L. Halperin, Mario J. Garcia, Sean P. Pinney, Martin E. Goldman

Research output: Contribution to journalArticle

Abstract

A left ventricular (LV) false tendon is a frequently visualized structure in echocardiography with unclear clinical significance. We present the case of a false tendon serving as a nidus for thrombus in a post-orthotopic heart transplantation patient. Three-dimensional transthoracic echocardiography (3DTTE) was utilized to visualize a LV mass and facilitate its identification as a thrombus as well as the surrounding structures. Using datasets from 3DTTE, the lack of ventricular wall attachment and circumferential formation of the thrombus around the false tendon was identified. Serial imaging demonstrated resolution of the thrombus with anticoagulation.

Original languageEnglish (US)
Pages (from-to)2117-2120
Number of pages4
JournalEchocardiography
Volume35
Issue number12
DOIs
StatePublished - Dec 2018

Keywords

  • 3-dimensional transthoracic echocardiography
  • false tendon
  • left ventricle
  • thrombus

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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