The information on this website is not intended for diagnosis or treatment. Please consult your physician for health concerns.

+90 850 321 50 00

Mural Thrombus

A thrombus adherent to the wall of a cardiac chamber.

Written by: Saygı Hospital Health Guide Editorial Board
Published:

This content is for general information; please consult your physician for diagnosis and treatment.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kardiyoloji department. Book Appointment →

What is Mural Thrombus?

A mural thrombus is a wall-adherent clot that forms in a cardiac chamber, most often at the left ventricular apex, within an atrium or within an aneurysmal segment. Acute anterior myocardial infarction, advanced systolic dysfunction and atrial fibrillation are the most common predisposing conditions.

Blood stasis, endothelial injury and hypercoagulability (Virchow triad) promote thrombus formation. Embolization can result in systemic emboli, most notably ischemic stroke.

Diagnosis is made with transthoracic or transesophageal echocardiography and cardiac MRI. Anticoagulation is essential for thrombus resolution and embolism prevention.

Symptoms

Often asymptomatic
Stroke from systemic embolism
Findings of mesenteric ischemia
Acute peripheral limb ischemia
Renal infarction symptoms
Retinal embolism and sudden vision loss
Additional cardiac dysfunction findings

Risk Factors

Large anterior MI
Left ventricular aneurysm
Dilated cardiomyopathy
Atrial fibrillation
Low ejection fraction
Endocarditis
Hypercoagulable syndromes

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Sudden stroke or neurologic symptoms
  • Loss of peripheral pulses
  • Severe abdominal pain
  • New-onset vision loss

Treatment Methods

01
Warfarin or DOAC anticoagulation
02
Heparin or LMWH for rapid initiation
03
Serial echocardiographic follow-up
04
Treatment of the underlying condition
05
Surgical removal is generally unnecessary for a stable thrombus
06
Long-term surveillance for thromboembolic events

Which Department to Visit?

You can visit our Kardiyoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Kardiyoloji Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

Book AppointmentContact Us

Related Health Topics

Other articles from the same department you may want to explore.

Hypertension (High Blood Pressure)

Kardiyoloji

Hypertension is a condition in which blood pressure readings remain above 140/90 mmHg; early treatment helps prevent serious complications.

Coronary Artery Disease

Kardiyoloji

Narrowing of the coronary arteries due to atherosclerosis can cause chest pain (angina) and heart attack.

Heart Failure

Kardiyoloji

Heart failure is a chronic cardiac condition characterized by shortness of breath, leg swelling, and fatigue.

Heart Attack (Myocardial Infarction)

Kardiyoloji

A heart attack is a medical emergency; because heart muscle is lost by the minute, immediate intervention saves lives.

Atrial Fibrillation

Kardiyoloji

Atrial fibrillation is a common arrhythmia characterized by an irregular heartbeat and increased risk of stroke.

Heart Palpitations

Kardiyoloji

Palpitations are usually due to benign causes, but underlying cardiac rhythm disorders must be ruled out.

Heart Valve Diseases

Kardiyoloji

Valve stenosis or regurgitation increases the workload of the heart and, over time, can lead to heart failure.

Aortic Aneurysm

Kardiyoloji

Aortic aneurysms are often silent; early diagnosis allows treatment before rupture (a life-threatening tear).

Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.