Trombus

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Thrombus is an aggregation of blood cells in which the blood flow becomes so slow that the blood solidifies. Thrombi may occur anywhere in the body. In this article, only intracardiac thrombi is highlighted. Thrombus is the most common source of cardiac embolism. At least 10-20% of all strokes/TIAs are of cardiac origin. Pulmonary embolism (90-95%) originates in the deep venous system of the lower extremities.

Intracardiac thrombi
Percentage Location Comment
55% Left atrium When atrial fibrillation is preferably in the LAA
25% Left ventricular In akinesia/aneurysms
10% Art Valves Often lethal
Remaining Right sided
  • In VCSSP in coronary sinus
  • In Grawitz tumor VCI
  • Vegetation at TV
Aorta Atherosclerotic plaques

Examples

Video Video
Mural thrombus apical septal Mural thrombus apical inferior
Video Video
Thrombus in RA Mobile thrombus in LA from LAA

References

  1. Hamer, J.P.M. “Cardiale massa’s”, in: Hamer/Pieper, ‘Praktische echocardiografie’, (2006), 1e druk 2e oplage, Houten, Bohn Stafleu van loghum, p198-200.

    [1]
  2. Pieper, P.G.. “Het hart als cardiale emboliebron”, in: Hamer/Pieper, ‘Praktische echocardiografie’, (2006), 1e druk 2e oplage, Houten, Bohn Stafleu van loghum, p.208-212.

    [2]