PMC8358798_01
PMC8358798_02
Posteroanterior chest x-ray view revealing cardiomegaly, bilateral interstitial infiltrates and bilateral pleural effusions.
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Chest x-ray showed cardiomegaly, bilateral interstitial infiltrates and bilateral pleural effusions (Figure 1).
Apical 4-chamber echocardiographic view showing a large and roundish LV apical thrombus with hypoechoic central space and hyperechoic border (A, red arrow). The LV thrombotic mass measured 23 mm x 21 mm. The TDI-derived LV mass peak Va was 5 cm/s, as depicted in panel (B). LA, left atrium; LV, left ventricular/left ventricle; TDI, tissue Doppler imaging; RA, right atrium; RV, right ventricle; Va, antegrade velocity.
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Figure 2 illustrates the LV apical thrombus (Figure 2A) and the corresponding TDI-derived peak mass Va (Figure 2B), while Figure 3 depicts the RV apical thrombus (Figure 3A) and the relative TDI-derived peak mass Va (Figure 3B).
Right ventricular focused 4-chamber echocardiographic view demonstrating RV (A, yellow arrow) and LV (A, red arrow) apical thrombi: both masses were found with hypoechoic central space and hyperechoic border. The RV thrombotic mass measured 18 mm x 15 mm. The TDI-derived RV mass peak Va was 7 cm/s, as depicted in panel (B). LV, left ventricular/left ventricle; TDI, tissue Doppler imaging; RV, right ventricular/right ventricle; Va, antegrade velocity.
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Figure 2 illustrates the LV apical thrombus (Figure 2A) and the corresponding TDI-derived peak mass Va (Figure 2B), while Figure 3 depicts the RV apical thrombus (Figure 3A) and the relative TDI-derived peak mass Va (Figure 3B).
Apical 4-chamber echocardiographic view showing disappearance of both RV and LV thrombotic masses after 10 days of anticoagulant treatment. LA, left atrium; LV, left ventricle; RA, right atrium; RV, right ventricle.
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TTE, performed after 10 days of anticoagulant treatment, showed the complete dissolution of both left and right ventricular thrombi (Figure 4). There was no clinical evidence of neither systemic nor pulmonary embolization, probably due to the hypomobility of both left, and right ventricular masses.