Echocardiographic recognition of left ventricular mural thrombus

Saverio Barbera, L. David Hillis

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

Left ventricular (LV) mural thrombus is a well recognized complication of acute myocardial infarction. In survivors of infarction, its incidence is influenced by the location and magnitude of infarction: it occurs often in patients with large anterior Q wave infarctions, particularly in the presence of LV apical akinesis or dyskinesis. Although radionuclide imaging with indium-111-labeled platelets, computed tomography, and magnetic resonance imaging may be used to identify L V mural thrombus, two-dimensional echocardiography is the technique of choice for assessing its presence, shape, and size, and recent technical advances in echocardiographic methodology, such as high-frequency, short-focal-length transducers, have improved the echocardiographic assessment of LV mural thrombus. In the patient in whom a mural thrombus is identified, acute and chronic anticoagulation (with heparin and warfarin, respectively) is indicated: first, to prevent further thrombus formation and, second, to reduce the incidence of systemic embolization.

Original languageEnglish (US)
Pages (from-to)289-295
Number of pages7
JournalEchocardiography
Volume16
Issue number3
DOIs
StatePublished - Jan 1 1999

Keywords

  • Anticoagulation
  • Mural thrombus
  • Myocardial infarction
  • Systemic embolization

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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