Case Report

Transient Ischemic Attack and Ischemic Stroke in Danon Disease with Formation of Left Ventricular Apical Thrombus despite Normal Systolic Function

Figure 2

Images of hypertrophic cardiomyopathy (HCM) and a thrombus in the left ventricular (LV) apex. (a) Parasternal long axis view (a) showed severe concentric hypertrophy of interventricular septum (IVS) and LV free wall, but without an echogenic mass in the apex. (b) Off-axis apical four-chamber view identified a round echogenic mass in the LV apex measuring 1.3 × 1.4 cm (arrow). (c) A coronal reformat of postcontrast chest CT demonstrated cardiomegaly with an intracardiac thrombus at the LV apex measuring up to 1.8 cm (arrow). Ao: aorta, LA: left atrium, and LV: left ventricle.
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