case_images: PMC10787518_01
case_images: Transthoracic echocardiography of dilated atrium showing early forming Thrombus (a) and dilated right ventricle with McConnell's sign (b).
case_images: qmj-2023-04-039-g001.jpg
case_images: PMC10787518_01_qmj-2023-04-039-g001.jpg
case_images: fig1
case_images: An urgent bedside echocardiogram revealed a severely dilated right ventricle with a strain pattern (as illustrated in Figure 1a), followed by the official echocardiogram that indicated a highly suspected fresh, early-forming thrombus in the inferior vena cava (IVC), approximately 2.0 cm proximal to the inferior vena cava orifice. A repeat bedside transthoracic echocardiography (TTE) showed severe right atrium (RA) and right ventricle (RV) dilation with McConnell's sign, as depicted in Figure 1b.
case_images: Trend of the physiological parameters with black arrows highlighting unstable vitals during cardiac arrest and subsequent improvement post-Tpa in MICU (~time of Tpa: 9:30 am). (Units: Peripheral pulse rate and respiratory rate units in beats per minute, Blood pressure unit in mmHg).
case_images: qmj-2023-04-039-g002.jpg
case_images: PMC10787518_01_qmj-2023-04-039-g002.jpg
case_images: fig2
case_images: Her clinical and laboratory parameters also improved, as detailed in Table 1 and Figure 2.