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Case Report

Extensive Left Ventricular Thrombosis with Concomitant Pulmonary Embolism

1
Department of Internal Medicine, County Clinical Hospital Mureș, 1 Gheorghe Marinescu Street, 540103 Târgu Mureș, Romania
2
George Emil Palade University of Medicine, Pharmacy, Science and Technology of Târgu-Mureș, 38 Gheorghe Marinescu Street, 540142 Târgu Mureș, Romania
3
Department of Cardiology, County Clinical Hospital Mureș, 1 Gheorghe Marinescu Street, 540103 Târgu Mureș, Romania
*
Author to whom correspondence should be addressed.
Clin. Pract. 2021, 11(2), 303-308; https://doi.org/10.3390/clinpract11020043
Received: 8 April 2021 / Revised: 28 April 2021 / Accepted: 6 May 2021 / Published: 18 May 2021
A 57-year-old non-obese female patient with a history of heavy smoking, chronic obstructive pulmonary disease and hypertension was admitted to the hospital as an emergency for acute hemoptysis and signs of congestive heart failure. To assess the source of hemoptysis, computed tomography (CT) pulmonary angiography was performed, which confirmed a bilateral pulmonary embolism of the apical branches. The routinely performed transthoracic echocardiography (TTE) revealed an enlarged left ventricle with severely reduced ejection fraction (EF = 25%) due to global hypokinesia and multiple, mobile, echogenic masses. To increase the diagnostic accuracy, real-time three-dimensional (Live 3D) imaging of the masses was added which described multiple left ventricular (LV) thrombi. Successful resolution of intraventricular thrombi was noticed after treatment with oral anticoagulant therapy (acenocumarol), despite the lack of regular INR control. View Full-Text
Keywords: ventricle; thrombi; pulmonary embolism; 3D echocardiography ventricle; thrombi; pulmonary embolism; 3D echocardiography
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MDPI and ACS Style

Magdás, A.; Podoleanu, C.; Frigy, A. Extensive Left Ventricular Thrombosis with Concomitant Pulmonary Embolism. Clin. Pract. 2021, 11, 303-308. https://doi.org/10.3390/clinpract11020043

AMA Style

Magdás A, Podoleanu C, Frigy A. Extensive Left Ventricular Thrombosis with Concomitant Pulmonary Embolism. Clinics and Practice. 2021; 11(2):303-308. https://doi.org/10.3390/clinpract11020043

Chicago/Turabian Style

Magdás, Annamária; Podoleanu, Cristian; Frigy, Attila. 2021. "Extensive Left Ventricular Thrombosis with Concomitant Pulmonary Embolism" Clin. Pract. 11, no. 2: 303-308. https://doi.org/10.3390/clinpract11020043

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