TY - JOUR
T1 - Right Ventricular Thrombus Detection and Multimodality Imaging Using Contrast Echocardiography and Cardiac Magnetic Resonance Imaging
AU - Tsang, Benjamin K T
AU - Platts, David G.
AU - Javorsky, George
AU - Brown, Martin R.
PY - 2012/3
Y1 - 2012/3
N2 - 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.
AB - 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.
KW - Contrast echocardiography
KW - Diagnostic imaging
KW - Magnetic resonance imaging
KW - Myocardial infarction
KW - Right ventricular thrombus
UR - http://www.scopus.com/inward/record.url?scp=84857501400&partnerID=8YFLogxK
U2 - 10.1016/j.hlc.2011.08.012
DO - 10.1016/j.hlc.2011.08.012
M3 - Article
C2 - 21924955
AN - SCOPUS:84857501400
SN - 1443-9506
VL - 21
SP - 185
EP - 188
JO - Heart, Lung and Circulation
JF - Heart, Lung and Circulation
IS - 3
ER -