PMC6180927_01
CT angiography of thorax displaying a suspected mass (dotted line) in the right side of the heart embedding the defibrillator wire (in red arrow head).
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fig1
CT of the chest with contrast showed absence of pulmonary embolism, questionable right ventricular mass, moderate-sized pericardial effusion, and reflux of iodine contrast into the IVC and hepatic veins, suggesting right heart strain (Figure 1).
Transthoracic echocardiogram apical four chamber view showing the mobile mass (dotted line) within the right side of the heart. RV, right ventricle; LV, left ventricle; LA, left atrium; PE, pericardial effusion.
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fig2
The mass extended from the right atrium to the right ventricle, moving back-and-forth across the tricuspid valve (Figure 2).
The giant right heart thrombus from surgical embolectomy.
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fig3
The thrombus was found to be originating from the coronary sinus (Figure 3).