Left Ventricular Apical Thrombus Mimicking Hypertrabeculation

A 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 ve...

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Autores principales: Misumi, Ikuo, Sato, Koji, Nagano, Miwa, Obata, Masahiro, Urata, Joji, Usuku, Hiroki, Kaikita, Koichi, Tsujita, Kenichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8355401/
https://www.ncbi.nlm.nih.gov/pubmed/33612677
http://dx.doi.org/10.2169/internalmedicine.6482-20
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author Misumi, Ikuo
Sato, Koji
Nagano, Miwa
Obata, Masahiro
Urata, Joji
Usuku, Hiroki
Kaikita, Koichi
Tsujita, Kenichi
author_facet Misumi, Ikuo
Sato, Koji
Nagano, Miwa
Obata, Masahiro
Urata, Joji
Usuku, Hiroki
Kaikita, Koichi
Tsujita, Kenichi
author_sort Misumi, Ikuo
collection PubMed
description A 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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spelling pubmed-83554012021-08-24 Left Ventricular Apical Thrombus Mimicking Hypertrabeculation Misumi, Ikuo Sato, Koji Nagano, Miwa Obata, Masahiro Urata, Joji Usuku, Hiroki Kaikita, Koichi Tsujita, Kenichi Intern Med Case Report A 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. The Japanese Society of Internal Medicine 2021-02-22 2021-07-15 /pmc/articles/PMC8355401/ /pubmed/33612677 http://dx.doi.org/10.2169/internalmedicine.6482-20 Text en Copyright © 2021 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Misumi, Ikuo
Sato, Koji
Nagano, Miwa
Obata, Masahiro
Urata, Joji
Usuku, Hiroki
Kaikita, Koichi
Tsujita, Kenichi
Left Ventricular Apical Thrombus Mimicking Hypertrabeculation
title Left Ventricular Apical Thrombus Mimicking Hypertrabeculation
title_full Left Ventricular Apical Thrombus Mimicking Hypertrabeculation
title_fullStr Left Ventricular Apical Thrombus Mimicking Hypertrabeculation
title_full_unstemmed Left Ventricular Apical Thrombus Mimicking Hypertrabeculation
title_short Left Ventricular Apical Thrombus Mimicking Hypertrabeculation
title_sort left ventricular apical thrombus mimicking hypertrabeculation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8355401/
https://www.ncbi.nlm.nih.gov/pubmed/33612677
http://dx.doi.org/10.2169/internalmedicine.6482-20
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