Right atrial free-floating thrombus in a patient with massive pulmonary embolism: a case of 'emboli in transit'.
A 78-year-old man was admitted with sudden onset of dyspnea followed by syncope. Contrast-enhanced computed tomography showed embolism in the right main pulmonary artery and left upper pulmonary artery. Echocardiography revealed a large, free-floating thrombus and cine magnetic resonance imaging showed highly mobile, low-signal intensity mass in the right atrium, which protruded into the right ventricle during diastole. During surgery the thrombus migrated into the pulmonary artery trunk, but it was successfully removed.
Soga
Taketomo
T
Sato
Yuichi
Y
Matsumoto
Naoya
N
Tachibana
Eizo
E
Watanabe
Kazuhiro
K
Kikushima
Kimio
K
Nagao
Ken
K
Orime
Yukihiko
Y
Saito
Satoshi
S
Hirayama
Atsushi
A
D000368:Aged; D003287:Contrast Media; D004417:Dyspnea / Q000209:etiology; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006801:Humans; D019028:Magnetic Resonance Imaging, Cine; D008297:Male; D011655:Pulmonary Embolism / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D013575:Syncope / Q000209:etiology; D014057:Tomography, X-Ray Computed / Q000379:methods; D014463:Ultrasonography
D003287:Contrast Media