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Year : 2015  |  Volume : 25  |  Issue : 2  |  Page : 54-56

Handheld echocardiography saves the brain: A serendipitously found left ventricular thrombus

1 Department of Internal Medicine, Mayo Clinic, Scottsdale, Arizona, USA
2 Division of Cardiovascular Diseases, Mayo Clinic, Scottsdale, Arizona, USA

Correspondence Address:
Fadi E Shamoun
Division of Cardiovascular Diseases, Mayo Clinic, 13400 E Shea Blvd, Scottsdale, AZ 85259
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2211-4122.161780

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Handheld echocardiography (HHE) is an emerging technology with potential to alter routine clinical practice. Our institution has adopted the use of HHE devices for both teaching and patient care. However, the appropriate clinical scope of HHE continues to be controversial, and the literature is largely devoid of prognosis-altering applications. We report the diagnosis of left ventricular (LV) thrombus with HHE. A 75-year-old man presented with a large anteroapical ST-elevation myocardial infarction (MI). Initial transthoracic echocardiography (TTE) after percutaneous intervention showed no LV thrombus. Before his hospital discharge, HHE was performed and showed LV thrombus. The finding substantially changed the patient's treatment and prognosis; he was discharged with warfarin. This observation will help guide further inquiry into the proper clinical role of HHE.

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