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When two or more contiguous segments are not seen : Case 2

Contrast Echocardiography for assessment of LV structure and function

Patient description

  • 45 year old male
  • 164 cm/155 kg – Body mass index 57.6
  • Past AMI and established heart failure:
  • EF 40 % (2000)
  • Drug abuse in the past
  • Admitted due to shortness of breath

Not taken "some medications", ECHO in the CCU


2D echocardiogram

Due to suboptimal image quality, 1 ml SonoVue bolus was given

Contrast echocardiogram

There was no suspicion of a thrombus in the grey scale images in this particular case, contrast was thus given only for LVO and the thrombus was in fact a random finding.
The case illustrates a possibility of an additional value from contrast echo that cannot always be predicted.