Large mobile left ventricular thrombus in a patient with dilated cardiomyopathy: a case report and review of literature

Author(s): Sumit Pal Singh Chawla*, K. S. Kajal, Sarabjot Kaur, Daman Lata, Himanshu Khutan

Abstract

Dilated cardiomyopathy (DCMP) and the resultant left ventricular (LV) dysfunction are risk factors for thrombus formation in the heart. Once formed, depending on their size, location, and mobility, LV thrombi have the tendency to embolise, sometimes with dire consequences. Early detection and treatment are important to reduce thromboembolic events and in resolution of LV thrombus. Two-dimensional (2D) echocardiography is the most commonly used technique for the diagnosis and follow-up of such cases. Here, we present a case of 30 years old female with DCMP with congestive heart failure (CHF) who developed a large mobile LV thrombus and was managed on anticoagulants to prevent distal embolisation. This case highlights that LV thrombi can even occur in patients in sinus rhythm who have reduced LV contractility.

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