case_images: PMC9424664_01
case_images: (A) The apical 4-chamber view of transthoracic echocardiography revealed a mass in the RV and a moderately dilated right heart. (B) The parasternal short-axis view of transthoracic echocardiography revealed a solid, poorly mobile mass attached to the apex of the RV. (C) The myocardial perfusion examination suggested moderate to low perfusion. LA, left atrium; LV, left ventricle; RA, right atrium; RV, right ventricle.
case_images: fsurg-09-924366-g001.jpg
case_images: PMC9424664_01_fsurg-09-924366-g001.jpg
case_images: F1
case_images: A mass having a solid, wide base and poor mobility measuring 39 mm x 21 mm was attached to the apex of the RV, causing moderate to severe RV hypokinesis (Figures 1A,B). Myocardial perfusion examination suggested moderate to low perfusion (Figure 1C).
case_images: The computed tomography pulmonary angiogram (CTPA) presented extensive emboli and signs of bilateral pulmonary artery stenosis and filling defects, which were indicated by the arrows both in image A and B.
case_images: fsurg-09-924366-g002.jpg
case_images: PMC9424664_01_fsurg-09-924366-g002.jpg
case_images: F2
case_images: Subsequently, CTPA revealed extensive bilateral pulmonary emboli in the right pulmonary artery, left lower pulmonary artery and multiple branching arteries (Figure 2).
case_images: (A) The right ventricular mass found during the operation. (B) The denuded pulmonary artery intima during surgery.
case_images: fsurg-09-924366-g003.jpg
case_images: PMC9424664_01_fsurg-09-924366-g003.jpg
case_images: F3
case_images: The exfoliated pulmonary intima and the RV thrombus are shown in Figure 3.