TITLE:
A Long Right Atrial Thrombus Intermittently Prolapsing into Right Ventricle in a Patient with Recurrent Ischemic Stroke: An Image Report
AUTHORS:
Zhigang Liu, Salman M. Malik, James S. Gammie, Boaz D. Rosen
KEYWORDS:
Right Atrial Thrombus, Ischemic Stroke, Thrombus in Transit
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.3 No.5,
May
20,
2014
ABSTRACT:
A 39-year-old male was admitted
for recurrent ischemic strokes. TEE was performed to detect the potential
intra-cardiac thrombi and right-to-left shunts. A large hypermobile, echodense,
irregular mass was found in the right atrium, which looked like a cluster of
grapes. The motion of the components of the mass was synchronized, prolapsing
into right ventricle in an octopus-like fashion during diastole. There was no
evidence for PFO or other intra-cardiac shunts by color flow Doppler. The
patient was referred to surgery and a continuous 30 cm long thrombus spanning
from the inferior vena cava to the right ventricle was discovered.