title: Echocardiographic detection of mobile right atrial thrombus.
abstract: Mobile right atrial thrombus is a rare echocardiographic diagnosis with important implications on further management. We report a case of 50-year-old woman with deep vein thrombosis of her left lower limb, who was found to have a large mobile serpiginous right atrial thrombus on both two-dimensional echocardiography (2DE) and transoesophageal echocardiography (TEE). She developed acute pulmonary embolism within thirty-six hours of diagnosis and subsequently underwent successful pulmonary embolectomy. This case demonstrates the usefulness of echocardiography as a non-invasive tool in the investigation of suspected pulmonary thromboembolism. The detection of right atrial thrombus mandates serious consideration for prompt surgical action.
authors.affiliation: Department of Medicine, Toa Payoh Hospital, Singapore.
authors.forename: Y S
authors.initials: YS
authors.lastname: Lau
authors.forename: T S
authors.initials: TS
authors.lastname: Chee
authors.forename: K L
authors.initials: KL
authors.lastname: Chua
mesh_terms: D004452:Echocardiography; D017548:Echocardiography, Transesophageal; D005260:Female; D006325:Heart Atria / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000601:surgery; D013924:Thrombophlebitis / Q000150:complications / Q000000981:diagnostic imaging; D013927:Thrombosis / Q000000981:diagnostic imaging* / Q000601:surgery