The role of echocardiography in assessing the morphological response of left ventricular thrombus to anticoagulation.
We present a patient with idiopathic dilated cardiomyopathy and a large left ventricular apical thrombus in which serial echocardiography over a 1-month period documented progressive enlargement of this mural thrombus.  This case illustrates the dramatic progression of left ventricular thrombus size despite aggressive anticoagulation. In addition, the critical role of echocardiography in the diagnosis and follow-up of patients with left ventricular thrombus is emphasized.
Lee
K S
KS
The Cleveland Clinic Foundation, Ohio.
Lever
H M
HM
D000925:Anticoagulants / Q000627:therapeutic use*; D002311:Cardiomyopathy, Dilated / Q000188:drug therapy; D003328:Coronary Thrombosis / Q000000981:diagnostic imaging* / Q000188:drug therapy; D004280:Dobutamine / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D004452:Echocardiography; D005260:Female; D006801:Humans; D008875:Middle Aged; D017211:Treatment Failure; D016277:Ventricular Function, Left