Intracardiac thrombus

Case contributed by Faisal Shadab
Diagnosis certain

Presentation

Unexplained anemia, memory loss and weakness for few months

Patient Data

Age: 85 years
Gender: Male
ct

CT scan revealed dense gall stones and small distal CBD stones. Mild intra and extra-hepatic biliary dilatation.

Incidental finding of left ventricular hypodense filling defect, most likely thrombus.

Case Discussion

Left ventricular thrombus is most commonly a complication of acute MI.

The primary risk for left ventricular thrombus is systemic embolism, which can be particularly life-threatening in the heart and brain (stroke).

In this patient, left ventricular thrombus was detected incidentally, which was confirmed on 2D echocardiogram.

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