Table 2.
Clinical and echocardiographic features of left section thrombotic masses
Left section mass | Clinical/echocardiographic findings |
---|---|
Left atrial thrombus | Atrial fibrillation/flutter |
Isoechoic/hyperechoic intra-atrial, sessile, or mobile mass | |
LAA echo-dense mass location | |
Prosthetic valve thrombus | Isoechoic/hyperechoic peri-/intravalvular sessile or mobile mass |
Lack of proper anticoagulation | |
Prosthetic dysfunction (increased transvalvular mean CW Doppler gradient, restricted leaflet/disc motion, color Doppler aliasing effect, etc.) | |
LV thrombus | Isoechoic/hyperechoic mass with defined margins distinct from endocardial edge and mural attachment |
Apical location | |
Wall motion-related abnormalities (hypokinesia and akinesia) | |
Ischemic heart disease |
LAA=Left atrial appendage, CW=Continuous wave, LV=Left ventricular