Three‐dimensional echocardiography demonstrates a skewered left ventricular thrombus in a patient with a heart transplant

摘要

A left ventricular ( LV ) false tendon is a frequently visualized structure in echocardiography with unclear clinical significance. We present the case of a false tendon serving as a nidus for thrombus in a post‐orthotopic heart transplantation patient. Three‐dimensional transthoracic echocardiography (3 DTTE ) was utilized to visualize a LV mass and facilitate its identification as a thrombus as well as the surrounding structures. Using datasets from 3 DTTE , the lack of ventricular wall attachment and circumferential formation of the thrombus around the false tendon was identified. Serial imaging demonstrated resolution of the thrombus with anticoagulation.