PMC3422902_01
Electrocardiogram of the patient with nonspecific changes; left axis deviation of QRS, ST-segment elevation in augmented vector right (aVR) and V1, poor R-wave progression in right precordial leads, ST-segment depression in left precordial leads as evidence of ischemia.
ijgm-5-661f1.jpg
PMC3422902_01_ijgm-5-661f1.jpg
f1-ijgm-5-661
Figure 1 shows an electrocardiogram of the patient, demonstrating nonspecific changes: left-axis deviation of QRS, ST elevation in aVR and V1, poor R-wave progression in right precordial leads, ST depression in left precordial leads as evidence of ischemia.
Transthoracic echocardiography showing apical akinesis with increased trabecularization and thrombus (A), and color Doppler echocardiography revealing severe mitral regurgitation (B). Apical thrombus is shown by arrow in A.
ijgm-5-661f2.jpg
PMC3422902_01_ijgm-5-661f2.jpg
f2-ijgm-5-661
Transthoracic echocardiography revealed apical left ventricular hypertrabeculation characteristic of left ventricular noncompaction, akinesis in a small area of the apex, and fresh thrombus (Figure 2A), and color Doppler echocardiography showed partially flail mitral valve with severe mitral regurgitation (MR) (Figure 2B).
Follow-up transthoracic (A) and transesophageal (B) echocardiography showing resolution of apical thrombus.
ijgm-5-661f3.jpg
PMC3422902_01_ijgm-5-661f3.jpg
f3-ijgm-5-661
Follow-up transthoracic (Figure 3A) and transesophageal (Figure 3B) echocardiography 10 days later showed resolving apical thrombus.