Seminars in Roentgenology
Volume 44, Issue 3 , Pages 127-130 , July 2009

Case of the Season: Left Ventricular Pseudothrombus as a Potential Pitfall on Cardiac CT

  • Jacek Strzelczyk, MD

      Affiliations

    • Department of Diagnostic Radiology, University of Manitoba, St. Boniface General Hospital, Winnipeg, MB
    • Corresponding Author InformationAddress reprint requests to Jacek Strzelczyk, MD, Department of Radiology, St. Boniface General Hospital, 409 Tache Ave, Winnipeg, MB, Canada R2H 2A6
    • ,
  • Troy Labounty, MD

      Affiliations

    • Division of Cardiovascular Medicine, Department of Internal Medicine, Weill Cornell Medical College, New York, NY
    • ,
  • Paul Cronin, MD, MS, MRCPI, FRCR

      Affiliations

    • Division of Cardiovascular Medicine, Department of Radiology, University of Michigan Health System, Ann Arbor, MI
    • ,
  • Ella A. Kazerooni, MD, MS

      Affiliations

    • Division of Cardiovascular Medicine, Department of Radiology, University of Michigan Health System, Ann Arbor, MI
    • ,
  • William Armstrong, MD

      Affiliations

    • Division of Cardiothoracic Radiology, Department of Internal Medicine, University of Michigan Health System, Ann Arbor, MI
    • ,
  • Melvyn Rubenfire, MD

      Affiliations

    • Division of Cardiothoracic Radiology, Department of Internal Medicine, University of Michigan Health System, Ann Arbor, MI
    • ,
  • Baskaran Sundaram, MD

      Affiliations

    • Division of Cardiovascular Medicine, Department of Radiology, University of Michigan Health System, Ann Arbor, MI

References 

  1. Chesebro JH, Ezekowitz M, Badimon L, et al. Intracardiac thrombi and systemic thromboembolism: Detection, incidence, and treatment. Annu Review Med. 1985;36:579–605
  2. Meltzer RS, Visser CA, Fuster V. Intracardiac thrombi and systemic embolization. Ann Intern Med. 1986;104:689–698
  3. Meurin P, Tabet JY, Renaud N, et al. Treatment of left ventricular thrombi with a low molecular weight heparin. Int J Cardiol. 2005;98:319–323
  4. Sharma ND, McCullough PA, Philbin EF, et al. Left ventricular thrombus and subsequent thromboembolism in patients with severe systolic dysfunction. Chest. 2000;117:314–320
  5. Kawamoto JIK, Shibukawa T, et al. Left ventricular thrombus with a normal heart. Gen J Thorac Cardiovasc Surg. 2007;55:322–324
  6. Yadava OP, Yadav S, Juneja S, et al. Left ventricular thrombus sans overt cardiac pathology. Ann Thorac Surg. 2003;76:623–625
  7. Leeper NJ, Gupta A, Schnittger I, et al. Clinical dilemmas in treating left ventricular thrombus. Int J Cardiol. 2007;114:E118–E119
  8. Barkhausen J, Hunold P, Eggebrecht H, et al. Detection and characterization of intracardiac thrombi on MR imaging. Am J Roentgenol. 2002;179:1539–1544
  9. Kaufman LB, Yeh BM, Breiman RS, et al. Inferior vena cava filling defects on CT and MRI. Am J Roentgenol. 2005;185:717–726
  10. Hironori N, Masayuki K, Hiroshi K, et al. Pseudothrombosis in the portal venous system: A potential pitfall with gadolinium-enhanced dynamic gradient-recalled echo imaging of the liver. J Magn Reson Imaging. 2000;12:763–768
  11. Kim YY, Klein AL, Halliburton SS, et al. Left atrial appendage filling defects identified by multidetector computed tomography in patients undergoing radiofrequency pulmonary vein antral isolation: A comparison with transesophageal echocardiography. Am Heart J. 2007;154:1199–1205
  12. Sparrow PJ, Kurian JB, Jones TR, et al. MR imaging of cardiac tumors. Radiographics. 2005;25:1255–1276
  13. British Thoracic Society. Guidelines for the management of suspected acute pulmonary embolism. Thorax. 2003;58:470–483
  14. Levine MN, Raskob G, Beyth RJ, et al. Hemorrhagic complications of anticoagulant treatment: The Seventh ACCP Conference on antithrombotic and thrombolytic therapy. Chest. 2004;126:287S–2310S
  15. Stein PD, Hull RD. Relative risks of anticoagulant treatment of acute pulmonary embolism based on an angiographic diagnosis vs a ventilation/perfusion scan diagnosis. Chest. 1994;106:727–730
  16. Hull RRD, Raskob GGE, Rosenbloom DD, et al. Heparin for 5 days as compared with 10 days in the initial treatment of proximal venous thrombosis. N Engl J Med. 1990;322:1260–1264

PII: S0037-198X(09)00033-9

doi: 10.1053/j.ro.2009.03.015

Seminars in Roentgenology
Volume 44, Issue 3 , Pages 127-130 , July 2009

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