PMC7992397_01
TTE apical four chambers view showing a thrombus in the right atrium, attached to the inter-atrial septum
PAMJ-37-355-g001.jpg
PMC7992397_01_PAMJ-37-355-g001.jpg
F1
The transthoracic echocardiography (TTE) readily showed two distinct masses occupying the right ventricle outflow tract measuring respectively 15 x 9 mm and 14 x 7 mm, and a large well-defined mass (22 x 33mm) in the right atrium attached to the inter atrial septum (Figure 1), a subcostal view revealed that the mass seemed to originate from the inferior vena cava (IVC) (Figure 2), hence suggestive of a thrombus.
a thrombus originating from the inferior vena cava and protruding into the right atrium on a TTE subcostal view
PAMJ-37-355-g002.jpg
PMC7992397_01_PAMJ-37-355-g002.jpg
F2
The transthoracic echocardiography (TTE) readily showed two distinct masses occupying the right ventricle outflow tract measuring respectively 15 x 9 mm and 14 x 7 mm, and a large well-defined mass (22 x 33mm) in the right atrium attached to the inter atrial septum (Figure 1), a subcostal view revealed that the mass seemed to originate from the inferior vena cava (IVC) (Figure 2), hence suggestive of a thrombus.
filling defect extending from the inferior vena cava (white arrow) to the right atrium (black arrow)
PAMJ-37-355-g003.jpg
PMC7992397_01_PAMJ-37-355-g003.jpg
F3
It consistently showed that the mass is extending from the IVC to the right atrium (Figure 3), along with another mass situated in the right ventricle, without evidence of pulmonary embolism.