Apical four chamber view in a patient with a bioprosthetic mitral valve and spontaneous echo contrast seen in the left ventricle. Apical four chamber view.

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Presentation transcript:

Apical four chamber view in a patient with a bioprosthetic mitral valve and spontaneous echo contrast seen in the left ventricle. Apical four chamber view in a patient with a bioprosthetic mitral valve and spontaneous echo contrast seen in the left ventricle. The swirling of red blood cells in the sequence A-C is often seen in low cardiac output states and requires careful investigation for an underlying mural thrombus. K Carpenter, and D Adams Heart 1998;80:S6-S8 Copyright © BMJ Publishing Group Ltd & British Cardiovascular Society. All rights reserved.