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Free-floating right atrial thrombus with acute pulmonary embolism
  1. X Hou1,
  2. W Liu2,
  3. Z Zhang3,
  4. Z Li2
  1. 1Department of Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, China
  2. 2Department of Echocardiogram, Beijing Anzhen Hospital, Capital Medical University, Beijing, China
  3. 3Department of Radiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China
  1. Dr X Hou, Department of Cardiac Surgery, Beijing Anzhen Hospital, Anzhenli, Andingmenwai, Chaoyang District, Beijing, China 100029; houxiaotong{at}yahoo.com.cn

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A 70-year-old man had an episode of dyspnoea followed by syncope 2 months after a stroke. Deep venous thrombosis was found in his right lower extremity by venous Doppler ultrasound. Transoesophageal echocardiography revealed a 33×38 mm highly mobile mass floating in his right atrium with no attachment to any atrium structure (fig 1A). The right heart chambers were dilated with mild tricuspid valve regurgitation and a systolic pulmonary artery pressure of …

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  • Competing interests: None.

  • Patient consent: Obtained.

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