title: A young man with heart failure, diffuse cardiac thrombi, and stroke.
abstract: A cardiac thrombus provides a substrate for thromboembolic events. Delayed enhancement cardiac magnetic resonance imaging detects a thrombus based on avascular tissue properties, and has been shown to provide improved detection of a left ventricular thrombus, compared with anatomic imaging using echocardiography. We present a case of a young man with cerebrovascular stroke in whom delayed enhancement cardiac magnetic resonance provided incremental diagnostic utility for identification of a thrombus within both the left-sided and right-sided cardiac chambers.
authors.affiliation: Division of Cardiology/Department of Medicine, Weill Cornell Medical College, New York, NY 10021, USA.
authors.forename: Dorinna D
authors.initials: DD
authors.lastname: Mendoza
authors.forename: Thanh D
authors.initials: TD
authors.lastname: Nguyen
authors.forename: Bradley B
authors.initials: BB
authors.lastname: Pua
authors.forename: Jonathan W
authors.initials: JW
authors.lastname: Weinsaft
mesh_terms: D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D003328:Coronary Thrombosis / Q000150:complications / Q000188:drug therapy / Q000473:pathology*; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006333:Heart Failure / Q000150:complications / Q000473:pathology*; D006801:Humans; D019028:Magnetic Resonance Imaging, Cine / Q000379:methods; D008297:Male; D020521:Stroke / Q000150:complications / Q000473:pathology*; D014859:Warfarin / Q000627:therapeutic use; D055815:Young Adult
chemical_list: D000925:Anticoagulants; D014859:Warfarin