A Long Right Atrial Thrombus Intermittently Prolapsing into Right Ventricle in a Patient with Recurrent Ischemic Stroke: An Image Report

• 作者: Boaz D. Rosen James S. Gammie Salman M. Malik Zhigang Liu
• 来源期刊: 临床医学病理报告(英文)
• 学科: 医学
• 关键词: RIGHT ATRIAL THROMBUS ISCHEMIC Stroke THROMBUS in TRANSIT
• 年，卷（期）: 2014,（5）
• 页码范围: 309-313
• 页数: 5页
• 分类号: R73

摘要

A 39-year-old male was admitted for recurrent ischemic strokes. TEE was performed to detect the potential intra-cardiac thrombi and right-to-left shunts. A large hypermobile, echodense, irregular mass was found in the right atrium, which looked like a cluster of grapes. The motion of the components of the mass was synchronized, prolapsing into right ventricle in an octopus-like fashion during diastole. There was no evidence for PFO or other intra-cardiac shunts by color flow Doppler. The patient was referred to surgery and a continuous 30 cm long thrombus spanning from the inferior vena cava to the right ventricle was discovered.