• Internal medicine · Jul 2021

    Case Reports

    Left Ventricular Apical Thrombus Mimicking Hypertrabeculation: A Case Report.

    • Ikuo Misumi, Koji Sato, Miwa Nagano, Masahiro Obata, Joji Urata, Hiroki Usuku, Koichi Kaikita, and Kenichi Tsujita.
    • Department of Cardiology, Kumamoto City Hospital, Japan.
    • Intern. Med. 2021 Jul 15; 60 (14): 2245-2250.

    AbstractA 73-year-old man visited our hospital due to dyspnea and epigastralgia. His plasma brain natriuretic peptide level was 1,205 pg/mL. A 12-lead electrocardiogram showed ST segment depression in leads I, V5, and V6. Transthoracic echocardiography showed dilatation and severe hypokinesis of the left ventricle. Hypertrabeculation was observed at the septum, apex, and lateral wall. Delayed enhancement of cardiac magnetic resonance imaging revealed a relatively low uptake of contrast agent at a large apical trabecula. After treatment with diuretics, follow-up echocardiography showed the disappearance of the controversial apical trabecula, which was later confirmed to have been a thrombus.

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