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Extensive intracardiac thrombi in a patient with heart failure and hepatic congestion: a case report.


ABSTRACT:

Background

Left ventricular (LV) thrombi is a complication associated with anterior ST-elevation myocardial infarction, dilated cardiomyopathies, or LV aneurysms. Right sided intracardiac thrombi may be associated with other prothrombotic causes.

Case summary

A 66-year-old man admitted with congestive heart failure was found to have extensive intracardiac masses on transthoracic echocardiography and cardiac magnetic resonance imaging (MRI). This occurred in the absence of a recent myocardial infarction. During his hospital stay, he was found to have deranged liver enzymes and coagulation profile due to hepatic congestion. The patient was presumed to have intracardiac thrombi and was treated with warfarin therapy. There was complete resolution of the masses on repeat cardiac

SUBMITTER: Wong B 

PROVIDER: S-EPMC6439363 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature