case_images: PMC10799578_01
case_images: Electrocardiogram (ECG) on admission, shows atrial flutter with 2:1 atrioventricular (AV) conduction with chronic right bundle-branch block.
case_images: 10.1177_23247096231224322-fig1.jpg
case_images: PMC10799578_01_10.1177_23247096231224322-fig1.jpg
case_images: fig1-23247096231224322
case_images: She was found to have atrial flutter with 2:1 atrioventricular conduction with chronic right bundle-branch block (Figure 1).
case_images: Multilobular echodense mass (2.1 cm x 1.5 cm), attached to the apex and anteroseptal left ventricular (LV).
case_images: 10.1177_23247096231224322-fig2.jpg
case_images: PMC10799578_01_10.1177_23247096231224322-fig2.jpg
case_images: fig2-23247096231224322
case_images: Thrombus (Figure 2). There was no valvular vegetation to suggest any infective endocarditis.
case_images: Patent left main, left anterior descending artery (LAD), left circumflex/obtuse marginal (OM), and diagonals.
case_images: 10.1177_23247096231224322-fig3.jpg
case_images: PMC10799578_01_10.1177_23247096231224322-fig3.jpg
case_images: fig3-23247096231224322
case_images: LAD and diagonals. Left main, left circumflex/OM, and dominant right circumflex artery (RCA) were all angiographically clear of disease (Figure 3).