This 45 y/o female with AIDS and cardiomyopathy presented with fever and an abnormal chest X-ray. A chest CT was performed. Selected images from the CT shown above demonstrate a filling defect in the left ventricle consistent with a left ventricular thrombus. The finding resolved after anticoagulant therapy.

  1. Mochizuki T, Koyama Y, Tanaka H, Ikezoe J, Shen Y, Azemoto S. Images in cardiovascular medicine. Left ventricular thrombus detected by two- and three-dimensional computed tomographic ventriculography: a new application of helical CT. Circulation 1998 Sep 1;98(9):933-4 UI:98409031
  2. Khan IA. Multiple left ventricular thrombi in dilated cardiomyopathy. Postgrad Med J 1999 May;75(883):315 UI:20003839
  3. Falk RH, Foster E, Coats MH. Ventricular thrombi and thromboembolism in dilated cardiomyopathy: a prospective follow-up study. Am Heart J 1992 Jan;123(1):136-42 UI:92109126
  4. Gould L, Gopalaswamy C, Chandy F, Kim BS. Congestive cardiomyopathy and left ventricular thrombus. Arch Intern Med 1983 Jul;143(7):1472-3 UI:83255537
  5. Bensaid J, Blanc P, Virot P. Rapid disappearance of left ventricular mass (presumed thrombus) in a patient with cardiomyopathy. Br Heart J 1982 Mar;47(3):301-3 UI:82135165
  6. Keeley EC, Hillis LD. Left ventricular mural thrombus after acute myocardial infarction. Clin Cardiol 1996 Feb;19(2):83-6 UI:96418630
  7. Ezekowitz MD. Imaging techniques for identifying left ventricular thrombi. Am J Card Imaging 1994 Jan;8(1):81-8 UI:94176968
  8. Sauer CM. Recurrent embolic stroke and cocaine-related cardiomyopathy. Stroke 1991 Sep;22(9):1203-5 UI:92023442
  9. Love BB, Struck LK, Stanford W, Biller J, Kerber R, Marcus M. Comparison of two-dimensional echocardiography and ultrafast cardiac computed tomography for evaluating intracardiac thrombi in cerebral ischemia. Stroke 1990 Jul;21(7):1033-8 UI:90312563
  10. Ezekowitz MD. Identifying left ventricular thrombi. Clin Cardiol 1990 Apr;13(4 Suppl 6):VI31-3 UI:90284132
  11. Sechtem U, Theissen P, Heindel W, Hungerberg K, Deutsch HJ, Welslau R, Curtius JM, Hugel W, Hopp HW, Schicha H. Diagnosis of left ventricular thrombi by magnetic resonance imaging and comparison with angiocardiography, computed tomography and echocardiography. Am J Cardiol 1989 Nov 15;64(18):1195-9 UI:90053307
  12. Foster CJ, Sekiya T, Love HG, Brownlee WC, Griffin JF, Isherwood I. Identification of intracardiac thrombus: comparison of computed tomography and cross-sectional echocardiography. Br J Radiol 1987 Apr;60(712):327-31 UI:87214822
  13. Goldstein JA, Schiller NB, Lipton MJ, Ports TA, Brundage BH. Evaluation of left ventricular thrombi by contrast-enhanced computed tomography and two-dimensional echocardiography. Am J Cardiol 1986 Apr 1;57(10):757-60 UI:86183606
  14. Peck WW, Mattrey RF, Slutsky RA. Right ventricular mural thrombus caused by myocardial infarction diagnosed by computed tomography. J Comput Tomogr 1984 Apr;8(2):133-6 UI:84181750
  15. Cholankeril JV, Millman AE, Ramamurti S, Ketyer S, Federici EE. Computerized tomography in intracardiac tumors. Comput Radiol 1983 Sep-Oct;7(5):311-8 UI:84056537
  16. Nixon JV. Left ventricular mural thrombus. Arch Intern Med 1983 Aug;143(8):1567-71 UI:83255563
  17. Tomoda H, Hoshiai M, Furuya H, Kuribayashi S, Ootaki M, Matsuyama S, Koide S, Kawada S, Shotsu A. Evaluation of intracardiac thrombus with computed tomography. Am J Cardiol 1983 Mar 1;51(5):843-52 UI:83149643
  18. Tomoda H, Hoshiai M, Furuya H, Shotsu A, Ootaki M, Matsuyama S. Evaluation of left ventricular thrombus with computed tomography. Am J Cardiol 1981 Sep;48(3):573-7 UI:81279135
  19. Nair CK, Sketch MH, Mahoney PD, Lynch JD, Mooss AN, Kenney NP. Detection of left ventricular thrombi by computerised tomography. A preliminary report. Br Heart J 1981 May;45(5):535-41 UI:81207849

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