PMC4777713_01
A - Arrow indicates a mobile spherical thrombus within the apex of the left ventricle. B - AP caudal: arrow indicates distal LAD occlusion by a well-organized thrombus. C - Absence of thrombus after 6 weeks of anticoagulation
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Transthoracic echocardiography (TTE) examination revealed a significant reduction of left ventricular ejection fraction (LVEF) of 14% with diffuse global hypokinesis, an akinetic anterior wall and the presence of a mobile thrombus in the left ventricle (Figure 1 A). After 6 weeks of anticoagulation therapy TTE showed the absence of a thrombus in the LV and revealed the improvement of LVEF from 14% at baseline to 23% (Figure 1 C).