PMC6476048_01
EKG showing nonspecific ST-T wave changes.
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Initial lab tests were significant for lactic acidosis, acute kidney injury, EKG with nonspecific ST-T wave changes (Figure 1), elevated troponin, 1.08 ng/ml, peaked at 3.5 ng/ml and urine drug screen was positive for methamphetamine and marijuana.
CT angiogram showing a massive AAA thrombus beyond the renal arteries.
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CT angiogram showed large segment aortic occlusion (4 cm) just beyond the renal arteries and partial occlusive thrombus in the superior mesenteric artery with early ischemia (Figures 2 and 3).
CT angiogram reconstruct showing large segmental aortic occlusions.
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CT angiogram showed large segment aortic occlusion (4 cm) just beyond the renal arteries and partial occlusive thrombus in the superior mesenteric artery with early ischemia (Figures 2 and 3).
Parasternal long axis view showing LV thrombus. LA: left atrium; AO: aorta; RV: right ventricle; LV: left ventricle.
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Transthoracic echocardiogram showed an echo dense mass, 2.4 cm x 2.8 cm, 1.2 cm x 2.0 cm in size, in the left ventricle with defined margins that are distinct from the endocardium seen throughout systole and diastole, consistent with left ventricular thrombus (Figures 4-6).
Parasternal short axis view. Mid to apical segment showing LV thrombus. LV: left ventricle.
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Transthoracic echocardiogram showed an echo dense mass, 2.4 cm x 2.8 cm, 1.2 cm x 2.0 cm in size, in the left ventricle with defined margins that are distinct from the endocardium seen throughout systole and diastole, consistent with left ventricular thrombus (Figures 4-6).
Apical four-chamber view showing LV thrombus. LA: left atrium; RA: right atrium; RV: right ventricle; LV: left ventricle.
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fig6
Transthoracic echocardiogram showed an echo dense mass, 2.4 cm x 2.8 cm, 1.2 cm x 2.0 cm in size, in the left ventricle with defined margins that are distinct from the endocardium seen throughout systole and diastole, consistent with left ventricular thrombus (Figures 4-6).