Midesophageal 2-chamber TEE video showing LV thrombus

A midesophageal 2-chamber TEE view shows a non-contractile mass in the apex of the left ventricle, likely representing thrombus. The underlying ventricular wall is virtually always akinetic or dyskinetic when a left ventricular thrombus is present. In this patient, akinesis of the apical segments, the severely reduced ejection fraction, and presence of spontaneous echo contrast all support the diagnosis of left ventricular thrombus.