Rapid Resolution of Left Ventricular Thrombus in Antiphospholipid Syndrome

• Published in: Echocardiography (Mount Kisco, N.Y.) Vol. 20; no. 1; pp. 67 - 70
• Main Authors: Willens, Howard J., Lowery, Maureen H., Lopez, Edelman, Ewing, Marzyeh H., Myerburg, Robert J.
• Format: Journal Article
• Language: English
• Published: 350 Main Street , Malden , MA 02148 , USA Blackwell Science Inc 01-01-2003
• Subjects: Adult; Anticoagulants - therapeutic use; antiphospholipid; Antiphospholipid Syndrome - complications; Echocardiography; Heart Diseases - diagnostic imaging; Heart Diseases - drug therapy; Heart Diseases - etiology; Heparin - therapeutic use; Humans; hypercoagulable; hypertension; Male; smoking; Thrombosis - diagnostic imaging; Thrombosis - drug therapy; Thrombosis - etiology; thrombus; Time Factors
• ISSN: 0742-2822; 1540-8175
• DOI: 10.1046/j.1540-8175.2003.00009.x

A 43‐year‐old male with recurrent cerebral infarctions and high titers of antiphospholipid antibodies was found to have a thrombus in his left ventricular outflow tract by transthoracic echocardiography. This thrombus disappeared after less than 24 hours of intravenous heparin therapy due to resolution or asymptomatic embolism. Left ventricular thrombi in patients with antiphospholipid syndrome and rapid disappearance of left ventricular thrombi with heparin therapy are infrequently reported occurrences. (ECHOCARDIOGRAPHY, Volume 20, January 2003)