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October 1982

Embolization of a Left Ventricular Mural Thrombus: Verification by Two-dimensional Echocardiography

Author Affiliations

From the Cardiology Department, University of Pittsburgh School of Medicine and Montefiore Hospital, Pittsburgh.

Arch Intern Med. 1982;142(10):1952-1953. doi:10.1001/archinte.1982.00340230200035

• A two-dimensional (2-D) echocardiogram in a 69-year-old man disclosed a septal-apical left ventricular thrombus six days after an acute anterior wall myocardial infarction. On the ninth hospital day, he suddenly experienced left-sided weakness and a left-sided field cut consistent with the diagnosis of a cerebrovascular accident (CVA). A repeated 2-D echocardiogram showed that the original mural thrombus had completely disappeared, which strongly supported an embolic event as the cause of the CVA. Two-dimensional echocardiography helped to verify the cause of this patient's neurologic problem. The mechanism and predisposing factors that led to a systemic embolism are discussed.

(Arch Intern Med 1982;142:1952-1953)

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