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. 1998 Jul;80(Suppl 1):S6–S8. doi: 10.1136/hrt.80.2008.6s

Apical mural thrombus: technical pitfalls

K Carpenter, D Adams
PMCID: PMC1766494  PMID: 10078069

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Figure 1  .

Figure 1  

A very large, immobile, apical thrombus is seen in a patient with an ischaemic cardiomyopathy. This thrombus is seen in both a parasternal long axis view (left) and an apical four chamber view (right).

Figure 2  .

Figure 2  

(A) Apical four chamber view showing a layered, mural thrombus causing the apex to appear foreshortened. (B) A schematic drawing identifies more detailed anatomy.

Figure 3  .

Figure 3  

Apical four chamber view in a patient with a left ventricular aneurysm. The distal septum and apical wall appears thin and bulging during systole. This is a typical appearance of a true aneurysm of the left ventricle.

Figure 4  .

Figure 4  

Apical four chamber view in a patient with a bioprosthetic mitral valve and spontaneous echo contrast seen in the left ventricle. The swirling of red blood cells in the sequence A-C is often seen in low cardiac output states and requires careful investigation for an underlying mural thrombus.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Goldschlager A., Goldschlager N., Brewster H., Kaplan J. Catheter entrapment in a Chiari network involving an atrial septal defect. Chest. 1972 Sep;62(3):345–346. doi: 10.1378/chest.62.3.345. [DOI] [PubMed] [Google Scholar]

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