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Published in: Journal of Medical Ultrasonics 2/2023

21-01-2023 | Transthoracic Echocardiography | Image–Cardiology

Chronic left ventricular apical thrombosis complicating isolated left ventricular noncompaction in a patient with human immunodeficiency virus infection

Authors: Toshimitsu Kato, Norimichi Koitabashi, Yukie Sano, Kunio Yanagisawa, Yoshiyuki Ogawa, Takayuki Saitoh, Hideki Ishii

Published in: Journal of Medical Ultrasonics | Issue 2/2023

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Excerpt

A 42-year-old male with acute dyspnea was transported to the emergency department. He had been infected with human immunodeficiency virus (HIV). However, he discontinued the treatment. Blood tests revealed a decreased CD4 count (134/μL) and increased HIV-1 ribonucleic acid viral load (70,153 copies/mL), brain natriuretic peptide level (1265 pg/mL), and D-dimer level (41.5 μg/mL). Computed tomography revealed lung congestion and pleural effusion. Transthoracic echocardiography revealed a reduction in left ventricular ejection fraction (LVEF) (25%). A giant thrombus (35 × 24 mm) stuck in the left ventricular apex (LVA) was detected (Fig. 1a). Color Doppler imaging demonstrated abnormal trabeculae, which fulfilled the echocardiographic diagnostic criteria for isolated left ventricular noncompaction (ILVNC) [1] (Fig. 1b). He had no predisposition to thrombosis. Thrombectomy was recommended, but he refused.
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Metadata
Title
Chronic left ventricular apical thrombosis complicating isolated left ventricular noncompaction in a patient with human immunodeficiency virus infection
Authors
Toshimitsu Kato
Norimichi Koitabashi
Yukie Sano
Kunio Yanagisawa
Yoshiyuki Ogawa
Takayuki Saitoh
Hideki Ishii
Publication date
21-01-2023
Publisher
Springer Nature Singapore
Published in
Journal of Medical Ultrasonics / Issue 2/2023
Print ISSN: 1346-4523
Electronic ISSN: 1613-2254
DOI
https://doi.org/10.1007/s10396-023-01283-1

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