Join Us | Latest Articles | Contact

Journal Home


Editorial Board


Recent Articles


Submit to this journal


Special Issues


Current issue

Clinical Medical Image Library




Pseudothrombus - An Echocardiographic Illusion

Rishi Vinod Lohiya* and Sunil Washimkar



Department of Cardiology, Post Graduate Institute & Super speciality Hospital, India


*Corresponding author: Rishi Vinod Lohiya, Department of Cardiology, Post Graduate Institute & Superspeciality Hospital, Nagpur, Maharashtra, India, Tel: 919320182115, E-mail: rishidr123@rediffmail.com
Clin Med Img Lib, CMIL-2-043, (Volume 2, Issue 5); ISSN: 2474-3682
Published Date: May 16, 2016
Citation: Lohiya RV, Washimkar S (2016) Pseudothrombus-An Echocardiographic Illusion. Clin Med Img Lib 2:043.
Copyright: © 2016 Lohiya RV, et al. This is an open-access content distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Cardiovascular complications like hypertension, premature atherosclerosis, coronary arteritis and myocarditis are not infrequent in systemic lupus erythematosus (SLE). There are case reports describing SLE associated left ventricular (LV) aneurysms secondary to myocarditis or more commonly post left ventricular infarction. We report one such case of a 45 years old lady in quiescent phase of SLE who presented with exertional dyspnea for six months. Clinical examination was unremarkable with normal blood pressure. Two dimensional echocardiography (2D Echo) revealed LV aneurysm involving mid and apical anterior and anteroseptal segments with two masses seen along the margin of this aneurysmal segment (Panel A, Panel B and Panel C). Due to unusual location of these masses along the aneurysmal margin and their homogeneous echogenecity, cardiac magnetic resonance imaging (CMR) was planned which revealed these masses to be localised myocardial thickenings secondary to remodelling (Panel D, Panel E and Supplementary video). Coronary angiogram was suggestive of insignificant stenosis of left anterior descending (LAD) artery and patient was advised guideline based medical therapy (Panel F).

Post infarction LV remodelling commonly results in left ventricular dilatation and hypertrophy however localised myocardial thickening along aneurysmal segment margin is uncommon. Moreover such thickening simulates thrombus on echocardiography leading to unindicated anticoagulation.


International Journal of Anesthetics and Anesthesiology (ISSN: 2377-4630)
International Journal of Blood Research and Disorders   (ISSN: 2469-5696)
International Journal of Brain Disorders and Treatment (ISSN: 2469-5866)
International Journal of Cancer and Clinical Research (ISSN: 2378-3419)
International Journal of Clinical Cardiology (ISSN: 2469-5696)
Journal of Clinical Gastroenterology and Treatment (ISSN: 2469-584X)
Clinical Medical Reviews and Case Reports (ISSN: 2378-3656)
Journal of Dermatology Research and Therapy (ISSN: 2469-5750)
International Journal of Diabetes and Clinical Research (ISSN: 2377-3634)
Journal of Family Medicine and Disease Prevention (ISSN: 2469-5793)
Journal of Genetics and Genome Research (ISSN: 2378-3648)
Journal of Geriatric Medicine and Gerontology (ISSN: 2469-5858)
International Journal of Immunology and Immunotherapy (ISSN: 2378-3672)
International Journal of Medical Nano Research (ISSN: 2378-3664)
International Journal of Neurology and Neurotherapy (ISSN: 2378-3001)
International Archives of Nursing and Health Care (ISSN: 2469-5823)
International Journal of Ophthalmology and Clinical Research (ISSN: 2378-346X)
International Journal of Oral and Dental Health (ISSN: 2469-5734)
International Journal of Pathology and Clinical Research (ISSN: 2469-5807)
International Journal of Pediatric Research (ISSN: 2469-5769)
International Journal of Respiratory and Pulmonary Medicine (ISSN: 2378-3516)
Journal of Rheumatic Diseases and Treatment (ISSN: 2469-5726)
International Journal of Sports and Exercise Medicine (ISSN: 2469-5718)
International Journal of Stem Cell Research & Therapy (ISSN: 2469-570X)
International Journal of Surgery Research and Practice (ISSN: 2378-3397)
Trauma Cases and Reviews (ISSN: 2469-5777)
International Archives of Urology and Complications (ISSN: 2469-5742)
International Journal of Virology and AIDS (ISSN: 2469-567X)
More Journals

Contact Us

ClinMed International Library | Science Resource Online LLC
3511 Silverside Road, Suite 105, Wilmington, DE 19810, USA
Email: contact@clinmedlib.org
 

Feedback

Get Email alerts
 
Creative Commons License
Open Access
by ClinMed International Library is licensed under a Creative Commons Attribution 4.0 International License based on a work at https://clinmedjournals.org/.
Copyright © 2017 ClinMed International Library. All Rights Reserved.