Morphological assessment of left ventricular thrombus by live three-dimensional transthoracic echocardiography.
We report the usefulness of live three-dimensional transthoracic echocardiography (3DTTE) in the morphological assessment of a left ventricular thrombus. Using live 3DTTE, the thrombus could be easily viewed end-on and from the sides. In addition, by cropping the 3D images sequentially in transverse (horizontal or short axis), longitudinal (vertical or long axis), frontal, and oblique planes, the degree and extent of lysis within the thrombus, which represents an integral part of the clot-resolution process, could be comprehensively assessed. The site of attachment of the thrombus in the left ventricular apex and its morphology could also be fully evaluated in three dimensions by live 3DTTE.
Division of Cardiovascular Diseases, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Ashish
A
Sinha
Navin C
NC
Nanda
Deepak
D
Khanna
Harvinder S
HS
Dod
Srinivas
S
Vengala
Farhat
F
Mehmood
Gopal
G
Agrawal
Sailendra
S
Upendram
D000328:Adult; D009202:Cardiomyopathies / Q000000981:diagnostic imaging* / Q000473:pathology*; D019560:Echocardiography, Three-Dimensional; D005260:Female; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D007089:Image Enhancement; D013927:Thrombosis / Q000000981:diagnostic imaging* / Q000473:pathology*