case_images: PMC7605943_01
case_images: Apical four chamber view showing bilateral atrial and ventricular dilation with anterior bowing of the interatrial septum suggestive of elevated left atrial pressure. There are also prominent hypertrabeculations at the apex of the left ventricle. LA: left atrium. LV: left ventricle. RA: right atrium. RV: right ventricle.
case_images: CRIPE2020-6369806.001.jpg
case_images: PMC7605943_01_CRIPE2020-6369806.001.jpg
case_images: fig1
case_images: Based on this, an echocardiogram was performed and revealed severe global hypokinesia of the left ventricle (ejection fraction 14% and shortening fraction 6%) with left ventricular apical hypertrabeculation and severe dilatation (LV end diastolic dimension Z score, 7.99) as shown in Figures 1 and 2.
case_images: Parasternal short-axis view of the left ventricle revealing hypertrabeculations and deep intertrabecular recesses.
case_images: CRIPE2020-6369806.002.jpg
case_images: PMC7605943_01_CRIPE2020-6369806.002.jpg
case_images: fig2
case_images: Based on this, an echocardiogram was performed and revealed severe global hypokinesia of the left ventricle (ejection fraction 14% and shortening fraction 6%) with left ventricular apical hypertrabeculation and severe dilatation (LV end diastolic dimension Z score, 7.99) as shown in Figures 1 and 2.
case_images: Modified parasternal short-axis view revealing a 2.7 x 1.3 cm thrombus in the left ventricle.
case_images: CRIPE2020-6369806.003.jpg
case_images: PMC7605943_01_CRIPE2020-6369806.003.jpg
case_images: fig3
case_images: Additionally, there was a well-circumscribed echogenic mass (2.7 x 1.3 cm) concerning for a left ventricular thrombus within the apex of the left ventricular cavity as shown in Figure 3.