case_images: PMC7968529_01
case_images: Electrocardiogram (ECG) of the patient.
case_images: f1000research-10-55546-g0000.jpg
case_images: PMC7968529_01_f1000research-10-55546-g0000.jpg
case_images: f1
case_images: An electrocardiogram (ECG) showed sinus tachycardia rhythm 125 beats per minute, right-sided frontal axis, horizontal axis clockwise rotation, and slow progression of R waves at V1-V4 ( Figure 1).
case_images: Chest X-ray of the patient.
case_images: f1000research-10-55546-g0001.jpg
case_images: PMC7968529_01_f1000research-10-55546-g0001.jpg
case_images: f2
case_images: A chest X-ray showed cardiomegaly, pulmonary congestion, and minimal bilateral pleural effusion ( Figure 2).
case_images: Transthoracic echocardiogram (TTE) showing thrombus in the right atrium.. RA = right atrium.
case_images: f1000research-10-55546-g0002.jpg
case_images: PMC7968529_01_f1000research-10-55546-g0002.jpg
case_images: f3
case_images: TAPSE 1.3 cm), and global hypokinetic of the left ventricle with eccentric left ventricular hypertrophy. The scans from a transthoracic echocardiogram (TTE) showing thrombus is shown in Figure 3 and Figure 4.
case_images: Transthoracic echocardiogram (TTE) showing thrombus in the inferior vena cava. . RA = right atrium; IVC = inferior vena cava.
case_images: f1000research-10-55546-g0003.jpg
case_images: PMC7968529_01_f1000research-10-55546-g0003.jpg
case_images: f4
case_images: TAPSE 1.3 cm), and global hypokinetic of the left ventricle with eccentric left ventricular hypertrophy. The scans from a transthoracic echocardiogram (TTE) showing thrombus is shown in Figure 3 and Figure 4.
case_images: Chest CT scan of the patient.. Red arrow showing the location of the thrombus.
case_images: f1000research-10-55546-g0004.jpg
case_images: PMC7968529_01_f1000research-10-55546-g0004.jpg
case_images: f5
case_images: Figure 5) showed right pulmonary artery embolism at +- 5.9 cm from bifurcation on the anterior side of the intermediate right bronchus; emboli on the left pulmonary artery bifurcation and the left pulmonary artery basal part; multiple right intraatrial hypodense lesions not showing contrast enhancement leading to a visualization of the right intraatrial thrombus; pulmonary infarction in the lateral-posterior segment of the base of the inferior lobe of the right lung, the lateral-posterior segment of the base of the inferior lobe of the left lung, and the anterior segment of the superior lobe of the left lung; and superior vena cava thrombus at VTH level 1-5. Figure 6 shows the protruded thrombus in the right atrium passing through the tricuspid valve.
case_images: Transthoracic echocardiogram (TTE) showing protruded thrombus in the right atrium passes through the tricuspid valve.
case_images: f1000research-10-55546-g0005.jpg
case_images: PMC7968529_01_f1000research-10-55546-g0005.jpg
case_images: f6
case_images: Figure 5) showed right pulmonary artery embolism at +- 5.9 cm from bifurcation on the anterior side of the intermediate right bronchus; emboli on the left pulmonary artery bifurcation and the left pulmonary artery basal part; multiple right intraatrial hypodense lesions not showing contrast enhancement leading to a visualization of the right intraatrial thrombus; pulmonary infarction in the lateral-posterior segment of the base of the inferior lobe of the right lung, the lateral-posterior segment of the base of the inferior lobe of the left lung, and the anterior segment of the superior lobe of the left lung; and superior vena cava thrombus at VTH level 1-5. Figure 6 shows the protruded thrombus in the right atrium passing through the tricuspid valve.
case_images: Transthoracic echocardiogram (TTE) comparison showing the position of the thrombus moving from the inferior vena cava towards the right atrium.
case_images: f1000research-10-55546-g0006.jpg
case_images: PMC7968529_01_f1000research-10-55546-g0006.jpg
case_images: f7
case_images: TTE also showed the position of the thrombus moving from the inferior vena ca va towards the right atrium ( Figure 7).