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19 September 2025 : Case report  Indonesia

Severe Left Ventricular Thrombus in the Context of Heart Failure and COVID-19: A Case Report

Unusual clinical course, Diagnostic / therapeutic accidents, Unusual setting of medical care

Jochebet Irene ABCDEF 1, Teuku Muhammad Haykal Putra ABCDEF 2*, Wahyu Aditya Soedarsono BCDF 2, Wishnu Aditya Widodo ORCID logo BCEF 2, Raja Ezman Raja Shariff DEF 3

DOI: 10.12659/AJCR.949609

Am J Case Rep 2025; 26:e949609

Table 1 Comparison of the patient’s echocardiographic findings, with the 2 examinations performed 1 year apart.

ParameterEchocardiography IEchocardiography II
Chambers dimensionLA-LV dilatationAll chambers dilatation
LV contractilityLVEF 31%LVEF 20%
RV contractilityTAPSE 19 mmTAPSE 13 mm
Wall motion abnormalitySegmental akinesia at inferior and inferoseptal parts of LVGlobal hypokinesia
LV thrombusNoneMassive
LA – left atrium; LV – left ventricle; LVEF – left ventricular ejection fraction; TAPSE – tricuspid annular plane systolic excursion; RV – right ventricle.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923