Right Ventricular Thrombus Detection and Multimodality Imaging Using Contrast Echocardiography and Cardiac Magnetic Resonance Imaging

Benjamin K T Tsang*, David G. Platts, George Javorsky, Martin R. Brown

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

11 Citations (Scopus)

Abstract

We present the case of right ventricular thrombus formation associated with a right ventricular infarct secondary to a proximal right coronary artery thrombus, which was not evident on transthoracic echocardiography but detected on both delayed gadolinium enhanced magnetic resonance imaging and microsphere contrast echocardiography. The diagnosis of right ventricular thrombosis altered the decision to place an implantable cardiac defibrillator in this patient. Anticoagulation with warfarin resulted in resolution of the thrombus. This case highlights the utility of multimodality imaging in the detection and follow-up of right ventricular thrombus in the setting of right ventricular myocardial infarction, and the effectiveness of anticoagulation therapy.

Original languageEnglish
Pages (from-to)185-188
Number of pages4
JournalHeart, Lung and Circulation
Volume21
Issue number3
DOIs
Publication statusPublished - Mar 2012
Externally publishedYes

Keywords

  • Contrast echocardiography
  • Diagnostic imaging
  • Magnetic resonance imaging
  • Myocardial infarction
  • Right ventricular thrombus

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