Year : 2016  |  Volume : 19  |  Issue : 4  |  Page : 728--732

Left ventricular mass: A tumor or a thrombus diagnostic dilemma


US Dinesh Kumar1, Shyam Prasad Shetty2, KR Sujay2, Murugesh Wali1 
1 Department of Cardiac Thoracic and Vascular Anesthesia, JSS Super Speciality Hospital and Medical College, Mysore, Karnataka, India
2 Department of Cardio Vascular and Thoracic Surgery, JSS Super Speciality Hospital and Medical College, Mysore, Karnataka, India

Correspondence Address:
U S Dinesh Kumar
Department of Cardiac Thoracic and Vascular Anesthesia, JSS Super Speciality Hospital, Mysore - 570 028, Karnataka
India

Left ventricular (LV) mass is a rare condition, of which the most common is thrombus. Echocardiography is a very useful modality of investigation to evaluate the LV mass. We are reporting a case of LV mass presenting with neurological symptom. The diagnosis of this mass was dilemma as the echocardiographic features were favoring tumor as well as thrombi. Mass (a) measuring 3.8 cm × 1.9 cm attached to the left ventricle apex appeared to be pedunculated tumor and mass (b) measuring 2.4 cm × 1.8 cm attached to the chordae of anterior mitral leaflet resembled a thrombus or an embolized tumor entangled in the chordae. A differential diagnosis for the LV mass is thrombus, tumors such as fibroma, and vegetation. Preoperative detection of a thrombus leads to an alteration in surgical steps. A large and mobile thrombus with or without a hemodynamic alteration is an indication for surgical removal to prevent stroke, myocardial infarction, mesenteric ischemia, renal infarction, gangrene of the limbs, and mortality.


How to cite this article:
Dinesh Kumar U S, Shetty SP, Sujay K R, Wali M. Left ventricular mass: A tumor or a thrombus diagnostic dilemma.Ann Card Anaesth 2016;19:728-732


How to cite this URL:
Dinesh Kumar U S, Shetty SP, Sujay K R, Wali M. Left ventricular mass: A tumor or a thrombus diagnostic dilemma. Ann Card Anaesth [serial online] 2016 [cited 2020 Mar 30 ];19:728-732
Available from: http://www.annals.in/article.asp?issn=0971-9784;year=2016;volume=19;issue=4;spage=728;epage=732;aulast=Dinesh;type=0