Author + information
- Received May 25, 2011
- Accepted June 3, 2011
- Published online March 6, 2012.
A 77-year-old woman presented with chest pain and dyspnea. Transthoracic echocardiography suggested a mobile, ill-defined right atrial mass. Real-time 3-dimensional transesophageal echocardiography demonstrated a large, highly mobile thrombus crossing a patent foramen ovale (PFO) and extending into the left atrium (Online Video 1). Computed tomography angiography confirmed thrombus in transit across a PFO along with bilateral pulmonary emboli (Online Video 2). The patient underwent urgent embolectomy, and a large thrombus was identified in the right atrium extending through the PFO (A and B). The patient was extubated and hemodynamically stable on post-operative day 1.
- Received May 25, 2011.
- Accepted June 3, 2011.
- American College of Cardiology Foundation