This is a 2D-Echocardiogram video clip, apical 4-chamber view, of the heart showing effect of RHTVE/saddle embolus. The RV is seen markedly enlarged with the visualized interventricular septum “outpouching” towards the LV presumably under extreme RV pressure overload (secondary to saddle embolus in the pulmonary arteries; not shown here). Also visible is the embolus (RHTVE) traversing the tricuspid valve with greater portion in the RV and a proximal end in the RA. See also case presentation for more explanation. RHTVE- Right Heart Transvalvular Embolus; RV- Right Ventricle; LV- Left Ventricle.
Acharya G, Adedayo A, Prabhu H, Brinster D, Mir P
CC BY 3.0
<a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4568365/bin/481357.f1.mov">Video file</a> from <cite style="font-style:normal">Acharya G, Adedayo A, Prabhu H, Brinster D, Mir P (2015). "<a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4568365">Right Heart Transvalvular Embolus with High Risk Pulmonary Embolism in a Recently Hospitalized Patient: A Case Report of a Therapeutic Challenge</a>". <i>Case Reports in Pulmonology</i>. <a href="https://en.wikipedia.org/wiki/Digital_object_identifier" class="extiw" title="w:Digital object identifier">DOI</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1155/2015/481357">10.1155/2015/481357</a>. <a href="https://en.wikipedia.org/wiki/PMID" class="extiw" title="w:PMID">PMID</a> <a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pubmed/26417470">26417470</a>. <a href="https://en.wikipedia.org/wiki/PubMed_Central" class="extiw" title="w:PubMed Central">PMC</a>: <a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4568365">4568365</a>.</cite>