Gannon Michael P, Saba Shahryar G, Hirsh Benjamin J, Halperin Jonathan L, Garcia Mario J, Pinney Sean P, Goldman Martin E
Department of Cardiology, North Shore University Hospital, Zucker School of Medicine at Hofstra Northwell, Manhasset, New York.
Department of Radiology, North Shore University Hospital, Zucker School of Medicine at Hofstra Northwell, Manhasset, New York.
Echocardiography. 2018 Dec;35(12):2117-2120. doi: 10.1111/echo.14158. Epub 2018 Oct 18.
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 (3DTTE) was utilized to visualize a LV mass and facilitate its identification as a thrombus as well as the surrounding structures. Using datasets from 3DTTE, 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.
左心室假腱索是超声心动图中常见的一种结构，其临床意义尚不明确。我们报告了一例原位心脏移植术后患者，假腱索作为血栓形成的病灶。采用三维经胸超声心动图（3DTTE）观察左心室肿物，并确定其为血栓以及周围结构。利用3DTTE数据集，发现血栓在假腱索周围缺乏心室壁附着且呈环形形成。连续成像显示抗凝治疗后血栓溶解。
