PMC9110046_01
Images from transesophageal echocardiogram. A) Mid-esophageal, 4-chamber view, showing the mobile right atrial thrombus (arrow); B) Midesophageal, aortic valve short axis view, demonstrating vegetations (arrow) along the right ventricular lead.
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These findings were confirmed with a transesophageal echocardiogram, which revealed a mid- to large-sized, 1.5 cm by 0.7 cm vegetation on the right atrial pacing wire, and another vegetation of mid-size on the ventricular lead (Figure 1).