An unusual form of intracardiac thrombosis and fibrinolytic process in a child with dilated cardiomyopathy.
A twelve-year-old girl presented with tachypnoea, cough and fatigue existing for 3 weeks, which subsequently proved to be caused by dilated cardiomyopathy. Echocardiography showed an echogenic mass with echolucent centre attached to the inferolateral wall of the left ventricle. There was prominent systolic dysfunction. Dilated cardiomyopathy is associated with an increased risk of intracardiac thrombosis. The intracardiac thrombi usually appear as a solid mass on the echocardiogram. The case was presented to emphasize the unususal echocardiographic appearance of an intracardiac thrombus associated with dilated cardiomyopathy.
Yilmazer
Murat M
MM
Izmir Dr. Behçet Uz Children's Hospital, Dept. of Paediatric Cardiology, Izmir, Turkey. drmuratmuhtar@hotmail.com
Guven
Bariş
B
Tavli
Vedide
V
D002311:Cardiomyopathy, Dilated / Q000000981:diagnostic imaging* / Q000188:drug therapy; D002648:Child; D003328:Coronary Thrombosis / Q000000981:diagnostic imaging* / Q000188:drug therapy; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D004452:Echocardiography; D004719:Endomyocardial Fibrosis / Q000000981:diagnostic imaging* / Q000188:drug therapy; D005260:Female; D006801:Humans