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Tucked Away: An Infected Thrombus
Elizabeth Hubbard, BA, Eric Wise, MD, PhD, Bradley Hubbard, MD, Steven Girard, MD, PhD, Bobby Kong, MD, Varsha Moudgal, MD The American Journal of Medicine Volume 129, Issue 6, Pages (June 2016) DOI: /j.amjmed Copyright © 2016 Elsevier Inc. Terms and Conditions
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Figure 1 Electrocardiography demonstrated sinus tachycardia with an age-indeterminate inferior Q-wave infarction without ST elevation. This was accompanied by T-wave inversion in the lateral precordial leads, V5 and V6. The American Journal of Medicine , DOI: ( /j.amjmed ) Copyright © 2016 Elsevier Inc. Terms and Conditions
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Figure 2 Preoperative transesophageal echocardiography identified a large inferior left ventricular aneurysm with thrombus (arrow) and its relatively narrow neck. An = aneurysm; LV = left ventricle; N = neck of aneurysm; RV = right ventricle. The American Journal of Medicine , DOI: ( /j.amjmed ) Copyright © 2016 Elsevier Inc. Terms and Conditions
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Figure 3 Computed tomography of the chest with contrast showed a large posterior ventricular aneurysm partially occupied by a clot. (A) This is an axial view. (B) A coronal view was obtained as well. The rim of the aneurysm is heavily calcified (arrow) and can be clearly seen along with several gas pockets. An = aneurysm; Ao = ascending aorta; LV = left ventricle; N = neck of aneurysm. The American Journal of Medicine , DOI: ( /j.amjmed ) Copyright © 2016 Elsevier Inc. Terms and Conditions
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Figure 4 A left ventricular thrombus with prominent neutrophilic infiltration was consistent with infection. The American Journal of Medicine , DOI: ( /j.amjmed ) Copyright © 2016 Elsevier Inc. Terms and Conditions
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