Abstract
Left ventricular (LV) thrombus and cardiac myxoma are often difficult to be differentiated in transthoracic echocardiography (TTE). Clinical history and findings are crucial in addition to the usage of newer imaging modalities such as transoesophageal echocardiography (TOE) and cardiac magnetic resonance imaging (CMR) in distinguishing these two aetiologies. Management will depend heavily on getting the diagnosis right as this will affect the overall morbidity and mortality of the patient. In this case report, a 52-year-old Malay gentleman, a non-smoker, with a background history of poorly controlled hypertension presented with failure symptoms and sudden chest pain to our center.
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