23 October 2025
: Case report 
Left Ventricle Libman-Sacks Endocarditis Secondary to Systemic Lupus Erythematosus and Antiphospholipid Syndrome: A Case Report
Unusual clinical course, Rare disease
Zi-hao Yang BCEF 1, Wen-qing Gong BDFG 1, Ying Liu ABF 2, Min-juan Zheng ACG 1*DOI: 10.12659/AJCR.949826
Am J Case Rep 2025; 26:e949826
Figure 2 Multimodal imaging (TTE, MCE, CMR). (A, B) (TTE): 27×20 mm hypoechoic thrombus (red arrow) on LV inferior wall with adjacent wall thinning (yellow arrow). (C, D) (MCE): Non-perfused thrombus (red arrow) and adjacent myocardial hypoperfusion (yellow arrow). (E) (Cine imaging): LV inferior wall thrombus (red arrow); adjacent regional wall thinning (yellow arrow); (F) (Contrast-enhanced imaging): Non-enhancing thrombus (red arrow); adjacent myocardium exhibiting transmural LGE (yellow arrow). TTE – transthoracic echocardiography; MCE – myocardial contrast echocardiography; CMR – cardiac magnetic resonance imaging; LV – left ventricle; LGE – late gadolinium enhancement.