title: Large right ventricular thrombus.
abstract: Right ventricular thrombosis is a rare yet potentially fatal condition. It has been described in association with hypercoagulability states, autoimmune diseases and dilated cardiomyopathy. Echocardiography constitutes the election tool for diagnosis and characterization of these entities, allowing for the differentiation between the various types of thrombi. We present a case of a patient with alcoholic dilated cardiomyopathy admitted for congestive heart failure and lower respiratory infection. In the diagnostic approach, a routine echocardiography revealed a large mural right ventricular thrombus in association with severe biventricular dysfunction. The patient was proposed for anticoagulation strategy, which he refused.
authors.affiliation: Cardiology Department. Centro Hospitalar S. João. Porto. Portugal.
authors.forename: Carla
authors.initials: C
authors.lastname: Sousa
authors.affiliation: Cardiology Department. Centro Hospitalar S. João. Porto. Portugal.
authors.forename: Pedro
authors.initials: P
authors.lastname: Almeida
authors.affiliation: Cardiology Department. Centro Hospitalar S. João. Porto. Portugal.
authors.forename: Alexandra
authors.initials: A
authors.lastname: Gonçalves
authors.affiliation: Cardiology Department. Centro Hospitalar S. João. Porto. Portugal.
authors.forename: João
authors.initials: J
authors.lastname: Rodrigues
authors.affiliation: Cardiology Department. Centro Hospitalar S. João. Porto. Portugal.
authors.forename: Inês
authors.initials: I
authors.lastname: Rangel
authors.affiliation: Cardiology Department. Centro Hospitalar S. João. Porto. Portugal.
authors.forename: Filipe
authors.initials: F
authors.lastname: Macedo
authors.affiliation: Cardiology Department. Centro Hospitalar S. João. Porto. Portugal.
authors.forename: M Júlia
authors.initials: MJ
authors.lastname: Maciel
mesh_terms: D006331:Heart Diseases / Q000000981:diagnostic imaging*; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D008875:Middle Aged; D013927:Thrombosis / Q000000981:diagnostic imaging*; D014463:Ultrasonography