Left Ventricular Thrombus in Cardiomyopathy : Echocardiographic Assessment

24-year-old female presented congestive heart failure caused by dilated cardiomyopathy and two patterns of the left ventricular thrombus. Protruding thrombus, formed on the 8 th day of hospitalization, was successufully dissolved by the intravenous administration of urokinase within a day. Echo-lucent thrombus, formed on the 23 rd day of hospitalization, revealed dynamic intracardiac motion during cardiac cycle and has remained all throgh the clinical course. The pulsed Doppler echocardiography showed alterd, disturbed flow patterns and low flow velocity in the region adjacent to the apex. It is concluded that the intraventricular thrombus was possibly formed by blood stasis