Left ventricular thrombus in the absence of detectable heart disease.
A woman presented with acute left leg pain requiring urgent left femoral embolectomy. Echocardiography showed a large, pedunculated left ventricular mass, but no additional cardiac abnormality. Clinical evaluation including cardiac catheterization and open heart surgery demonstrated no cardiac pathologic findings. At surgery, a large thrombus was removed from the left ventricle. We suggest that all patients with arterial embolic disease have echocardiography, even if heart disease is not suspected.
Vaganos
S A
SA
Cardiovascular Division, Lankenau Hospital, Philadelphia 19151.
Fox
K R
KR
Kitchen
J G
JG
D000328:Adult; D004452:Echocardiography; D004617:Embolism / Q000209:etiology; D005260:Female; D005263:Femoral Artery; D006331:Heart Diseases / Q000150:complications / Q000175:diagnosis*; D006352:Heart Ventricles; D006801:Humans; D013927:Thrombosis / Q000150:complications / Q000175:diagnosis*