PMC6191556_01
A hypoechoic mass with irregular borders concurrent with a thrombus based on the apical two-chamber view
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F1
A hypoechoic mass with irregular borders concurrent with a thrombus was apparent in the left ventricle (Fig. 1).
Two-dimensional (A) and three-dimensional (B) tomography scan with volume rendering showed large ventricular thrombus
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F2
Cardiac tomography scan (CTC) was planned to investigate the accompanied cardiac anomaly causing ventricular thrombus development, and apical cardiac thrombus was confirmed (Fig. 2a, Fig. 2b).
ICA showed no evidence of obstructive coronary artery disease concurrent with peripartum cardiomyopathy
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F3
TTE showed that the embolus had diminished in size. To exclude coronary heart disease, invasive coronary angiography (ICA) was scheduled, and ICA performed on the 5th day revealed a normal coronary artery (Fig. 3) concurrent with peripartum cardiomyopathy.