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Ann Thorac Surg 2003;76:623-625
© 2003 The Society of Thoracic Surgeons

Case report

Left ventricular thrombus sans overt cardiac pathology

Om P. Yadava, DNB*a, Sumit Yadav, MCha, Saurabh Juneja, MCha, Vijay K. Chopra, DMa, Rajeev Passey, DMa, Rajen Ghadiok, MDa

a Department of Cardiac Surgery, New Delhi, IndiaDepartment of Cardiology, Dharma Vira Heart Centre, Sir Ganga Ram Hospital, New Delhi, India

Accepted for publication January 26, 2003.

* Address reprint requests to Dr Yadava, Department of Cardiac Surgery, Dharma Vira Heart Centre, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi 110060, India
e-mail: op_yadava{at}yahoo.com

A 25-year-old man presenting with peripheral and cerebral emboli was incidentally detected as having a left ventricular mass on two-dimensional echocardiographic examination of the heart. In absence of any obvious structural heart disease or hypercoagulable state, the mass was presumptively diagnosed as left ventricular myxoma. The patient was operated on, and histopathology revealed the mass to be a thrombus. The cause and pathogenesis of the left ventricular thrombus, differential diagnosis, and management are discussed. The rarity of the case is highlighted.






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