Two patients with left ventricular thrombosis diagnosed by echocardiog
raphy are presented. The first patient was a 6-week-old girl with supr
aventricular tachycardia. Cross-sectional echocardiography showed a ro
unded and mobile structure protruding from the left ventricular wall.
The girl was in heart failure and had signs of peripheral embolization
. After sinus rhythm had been restored the thrombus diminished gradual
ly and the girl recovered. The second patient was a newborn boy with s
evere aortic stenosis and a large massive thrombus along the left side
of the interventricular septum. The boy died after valvotomy, the pos
t-mortem examination confirmed the diagnosis of a large thrombus. Left
ventricular thrombosis is uncommon in neonates and infants but may ap
pear secondary to abnormal hemodynamics.