A young man with heart failure, diffuse cardiac thrombi, and stroke.
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.
Mendoza
Dorinna D
DD
Division of Cardiology/Department of Medicine, Weill Cornell Medical College, New York, NY 10021, USA.
Nguyen
Thanh D
TD
Pua
Bradley B
BB
Weinsaft
Jonathan W
JW
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
D000925:Anticoagulants; D014859:Warfarin