Echocardiographic detection of mobile right atrial thrombus
Lau, Y.S.; Chee, T.S.; Chua, K.L.
Singapore Medical Journal 35(1): 112-114
1994
ISSN/ISBN: 0037-5675 PMID: 8009270 Document Number: 422791
Mobile right atrial thrombus is a rare echocardiographic diagnosis with important implications on further management. We report a case of 50-year-old woman with deep vein thrombosis of her left lower limb, who was found to have a large mobile serpiginous right atrial thrombus on both two-dimensional echocardiography (2DE) and transoesophageal echocardiography (TEE). She developed acute pulmonary embolism within thirty-six hours of diagnosis and subsequently underwent successful pulmonary embolectomy. This case demonstrates the usefulness of echocardiography as a non-invasive tool in the investigation of suspected pulmonary thromboembolism. The detection of right atrial thrombus mandates serious consideration for prompt surgical action.