Thrombus In Left Ventricular Aneurysm • Video • MEDtube.net
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Differential Diagnosis of LV Mass 1--Thrombus (most common) Cause: Usually after myocardial infarction (especially anterior/apical), in LV aneurysm, or in severe LV systolic dysfunction. Echocardiographic features: Located near apex or akinetic area. Often sessile or laminated (organized) or mobile and protruding (acute/fresh). Avascular (no flow on contrast echo). Echodensity similar or slightly less than myocardium. Key clue: Underlying regional wall motion abnormality. --- 2--Cardiac Tumors a
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Left Ventricular Thrombus Post-MI: A Critical Complication After an acute MI, the injured myocardium can create a pro-thrombotic environment, leading to left ventricular thrombus (LVT) formation. Key Points: · Risk Period: Highest in the first weeks following a large anterior ST-elevation MI. · Primary Concern: Systemic embolization, most critically causing stroke. · Management: Requires prompt imaging (echo/CMR) and immediate initiation of anticoagulation therapy. Awareness, early detection, an
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