PMC7968529_01
Electrocardiogram (ECG) of the patient.
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An electrocardiogram (ECG) showed sinus tachycardia rhythm 125 beats per minute, right-sided frontal axis, horizontal axis clockwise rotation, and slow progression of R waves at V1-V4 ( Figure 1).
Chest X-ray of the patient.
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A chest X-ray showed cardiomegaly, pulmonary congestion, and minimal bilateral pleural effusion ( Figure 2).
Transthoracic echocardiogram (TTE) showing thrombus in the right atrium.. RA = right atrium.
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TAPSE 1.3 cm), and global hypokinetic of the left ventricle with eccentric left ventricular hypertrophy. The scans from a transthoracic echocardiogram (TTE) showing thrombus is shown in Figure 3 and Figure 4.
Transthoracic echocardiogram (TTE) showing thrombus in the inferior vena cava. . RA = right atrium; IVC = inferior vena cava.
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TAPSE 1.3 cm), and global hypokinetic of the left ventricle with eccentric left ventricular hypertrophy. The scans from a transthoracic echocardiogram (TTE) showing thrombus is shown in Figure 3 and Figure 4.
Chest CT scan of the patient.. Red arrow showing the location of the thrombus.
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Figure 5) showed right pulmonary artery embolism at +- 5.9 cm from bifurcation on the anterior side of the intermediate right bronchus; emboli on the left pulmonary artery bifurcation and the left pulmonary artery basal part; multiple right intraatrial hypodense lesions not showing contrast enhancement leading to a visualization of the right intraatrial thrombus; pulmonary infarction in the lateral-posterior segment of the base of the inferior lobe of the right lung, the lateral-posterior segment of the base of the inferior lobe of the left lung, and the anterior segment of the superior lobe of the left lung; and superior vena cava thrombus at VTH level 1-5. Figure 6 shows the protruded thrombus in the right atrium passing through the tricuspid valve.
Transthoracic echocardiogram (TTE) showing protruded thrombus in the right atrium passes through the tricuspid valve.
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Figure 5) showed right pulmonary artery embolism at +- 5.9 cm from bifurcation on the anterior side of the intermediate right bronchus; emboli on the left pulmonary artery bifurcation and the left pulmonary artery basal part; multiple right intraatrial hypodense lesions not showing contrast enhancement leading to a visualization of the right intraatrial thrombus; pulmonary infarction in the lateral-posterior segment of the base of the inferior lobe of the right lung, the lateral-posterior segment of the base of the inferior lobe of the left lung, and the anterior segment of the superior lobe of the left lung; and superior vena cava thrombus at VTH level 1-5. Figure 6 shows the protruded thrombus in the right atrium passing through the tricuspid valve.
Transthoracic echocardiogram (TTE) comparison showing the position of the thrombus moving from the inferior vena cava towards the right atrium.
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TTE also showed the position of the thrombus moving from the inferior vena ca va towards the right atrium ( Figure 7).