Right atrial thrombus migration during echocardiography: a case for urgent intervention. |
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Authors: | R Senior R Cowell P Thomas E B Raftery |
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Affiliation: | Northwick Park Hospital, Harrow Middlesex, U.K. |
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Abstract: | A 65-year-old woman presented with increasing shortness of breath, chest pain and ST-T wave abnormalities on the electrocardiogram suggestive of unstable angina. Cross-sectional echocardiography performed to assess wall-motion abnormality and left ventricular function revealed a pedunculated right atrial thrombus prolapsing into the right ventricle which suddenly dislodged and migrated into the pulmonary circulation during the examination. A diagnosis of recurrent pulmonary thromboembolism was made, necessitating urgent pulmonary angiography with infusion of streptokinase. The patient made an uneventful recovery. |
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Keywords: | Cross-sectional echocardiography right atrial thrombus pulmonary embolism |
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