PMC6557010_01
Transesophageal echocardiography showed sessile echogenic mass (thrombus) attached to the atrial side of the tricuspid valve: (A) Transthoracic echocardiography demonstrated a central linear echogenic mass at TV level and (B) Fluoroscopic evaluation revealed the restricted motion with approximately semiopen position of TV and a sessile echogenic mass on the atrial side. LA, Left Atrium; RA, Right Atrium; LV, Left Ventricle; RV, Right Ventricle; TV, Tricuspid Valve
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It also revealed a mass at TV level with characteristics of central linear echogenic entity (Figure 1).
Present and disappearance of grenade burst fragment on right arm X-ray: (A) a week after explosion; (B) 2 months after explosion.
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PE. Presence of the projectile particle inside the arm tissues in previous X-ray and its absence in the recent images (Figure 2) raised the index of suspicious of "the embolized missile to heart that was complicated with thrombosis." Most likely the grenade fragment entered blood stream via the right cephalic vein and then migrated proximally toward the heart.
Twenty-nine-year-old woman with foreign body (FB) embolization to heart: (A) thrombotic FB anchored to anterior leaflet of tricuspid valve; (B) removed thrombus and its burst chip nidus.
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TV leaflet (Figure 3).