A Complete Resolution of Left Ventricular Thrombus in A Patient with Myocarditis
Oscar Perez-Orpinel, Arturo Mendez-Ortiz, Arnoldo Loaisiga-Saenz, Erick Alexanderson-Rosas, Nilda Espinola-Zavaleta*
Abstract:
Left ventricular thrombi are more prevalent in dilated cardiomyopathy (39%) followed
by ischemic heart disease. We present a case of 45-year-old man, with history of 3-months
progressive exertional dyspnea and leg swelling. The echocardiography showed left ventricular
dilation with Left Ventricular Ejection Fraction (LVEF) of 23%, moderate to severe tricuspid and
mitral regurgitation, diastolic dysfunction grade III and left ventricular thrombus and the MRI
revealed lineal intramyocardial late gadolinium enhancement (septal and infero-lateral wall),
severe biventricular systolic dysfunction. In the one-month follow-up in treatment with warfarin
(INR-2.5), the echocardiogram showed a complete disappearance of thrombus and improvement
of LVEF.
Keywords: Thrombus; Echocardiography; Magnetic Resonance Imaging; Myocarditis,
