Incidental Diagnosis of a Left Ventricular Thrombus through Novel Magnetic Resonance Imaging Technique in a Patient Undergoing Coronary Artery Bypass Grafting

Abstract

Stroke after cardiac surgery is a devastating complication. We report a case of incidental diagnosis of a left ventricular thrombus in a patient scheduled to undergo coronary artery bypass grafting. The preoperative diagnosis of an apical left ventricular thrombus was assessed by a novel, whole body MRI-angiography technique (TIMRA), which led to alteration of the operative approach as an additional thrombectomy was performed through an apical left ventriculotomy.

Cardiovascular surgery - myocardial infarction - heart disease

References

• 1 Crawford T C, Smith W T, Velazquez E J, Taylor S M, Jollis J G, Kisslo J. Prognostic usefulness of left ventricular thrombus by echocardiography in dilated cardiomyopathy in predicting stroke, transient ischemic attack, and death.  Am J Cardiol. 2004;  93 500-503
• 2 Meaney J F. Magnetic resonance angiography of the peripheral arteries: current status.  Eur Radiol. 2003;  13 836-852
• 3 Crawford T C, Smith W T, Velazquez E J, Taylor S M, Jollis J G, Kisslo J. Prognostic usefulness of left ventricular thrombus by echocardiography in dilated cardiomyopathy in predicting stroke, transient ischemic attack, and death.  Am J Cardiol. 2004;  93 500-503
• 4 Constantine G, Shan K, Flamm S D, Sivananthan M U. Role of MRI in clinical cardiology.  Lancet. 2004;  363 (9427) (Menu14969636) 2162-2171
• 5 Wetzel S, Bongartz G. MR angiography: supra-aortic vessels.  Eur Radiol. 1999;  9 1277-1284
• 6 Leclerc X, Pruvo J P. Recent advances in magnetic resonance angiography of carotid and vertebral arteries.  Curr Opin Neurol. 2000;  13 75-82