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Using cross-sectional echocardiography, left ventricular thrombi were easily found in a 10-year-old boy suffering from congestive heart failure resulting from long-standing endocardial fibroelastosis. Ten days after this procedure, the patient suddenly manifested the signs of acute embolic occlusion of the abdominal aorta and succumbed. Emboli removed from the aorta were histologically confirmed to be organized thrombi. Cross-sectional echocardiography was useful in the antemortem detection of left ventricular thrombi in this pediatric patient.
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