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Cystic left ventricular mass: the utility of transthoracic echocardiography and cardiac MRI
  1. Scott E Janus,
  2. Sadeer G Al-Kindi,
  3. Imran Rashid and
  4. Brian D Hoit
  1. Harrington Heart and Vascular Institute, University Hospitals Case Medical Center, Cleveland, Ohio, USA
  1. Correspondence to Dr Scott E Janus; sejanus2{at}


Accurate identification of left ventricular masses (LVM) can be challenging, and if incorrect, may have devastating consequences. While transthoracic echocardiography is often the first test to identify intracardiac masses, cardiac MRI (CMRI) allows for better anatomical definition and tissue characterisation. We present a case of a 51-year-old man who presented with 4 weeks of shortness of breath, found on echocardiogram to have severely reduced LV function and a 2.5×4.0 cm LVM with a hypolucent/cystic core. Due to the unusual appearance, CMRI was required for confirmation of an LV thrombus. This case highlights the importance of multimodality imaging in the discovery and identification of LVM.

  • cardiovascular medicine
  • venous thromboembolism
  • heart failure

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  • Contributors The report was written by SEJ, SGA-K, IR and BDH. The patient’s signed form was completed by SEJ. SEJ, SGA-K, IR and BDH all contributed to the planning, reporting, writing and reviewing of the manuscript. All authors approved the version to be published.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.