Evolution of left ventricular thrombus on serial cardiovascular magnetic resonance imaging.

ABSTRACT:

Aims

Current management of left ventricular (LV) thrombus relies on limited, non-contemporary, echocardiography-based studies. Data on LV thrombus evolution and the associated embolic risk are scarce. We aimed to describe the evolution of LV thrombus on serial cardiovascular magnetic resonance imaging (CMR)-the current reference standard for the detection of LV thrombus-and identify correlates of no resolution and the embolic risk associated with resolution status.

Methods and results

We conducted a retrospective cohort study of 107 consecutive patients with LV thrombus who had 213 serial CMRs at a median of 255 days after the index CMR. Of these, 97.2% were anticoagulated. At 3 months after detection by CMR, 75% (47/63) had no resolution of LV thrombus; at 6 months, 53% (35

SUBMITTER: Bawaskar P 

PROVIDER: S-EPMC11781835 | biostudies-literature | 2025 Jan

REPOSITORIES: biostudies-literature