PMC9983724_01
PLAX showing a clot in transit in the right ventricle (arrow).
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The short parasternal axis window showed a dilated right ventricle and flattening of the interventricular septum as well as a hyperechoic image in the pulmonary artery (Figure 1 and Online Video S1).
PMC9983724_02
Subxiphoid view showing a clot in transit in the right ventricle (arrow).
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He was admitted to the intensive care unit, where POCUS evaluation was performed, finding B-lines in both lung fields, ventricular interdependence, peak systolic velocity of the right ventricular outflow tract of 74.5 cm/s, PVAT (pulmonary acceleration time) 90 ms, TAPSE (systolic excursion of the tricuspid annulus) of 14 mm, the diameter of the inferior vena cava greater than 2 cm without inspiratory collapse and in the subxiphoid cardiac window, an image adjacent to the tricuspid valve apparatus compatible with a right heart thrombus (Figure 2 and Online Video S2).
PMC9983724_03
PSAX view showing a clot in the pulmonary artery.
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pocusj-07-15534-g003