case_images: PMC7992397_01
case_images: TTE apical four chambers view showing a thrombus in the right atrium, attached to the inter-atrial septum
case_images: PAMJ-37-355-g001.jpg
case_images: PMC7992397_01_PAMJ-37-355-g001.jpg
case_images: F1
case_images: The transthoracic echocardiography (TTE) readily showed two distinct masses occupying the right ventricle outflow tract measuring respectively 15 x 9 mm and 14 x 7 mm, and a large well-defined mass (22 x 33mm) in the right atrium attached to the inter atrial septum (Figure 1), a subcostal view revealed that the mass seemed to originate from the inferior vena cava (IVC) (Figure 2), hence suggestive of a thrombus.
case_images: a thrombus originating from the inferior vena cava and protruding into the right atrium on a TTE subcostal view
case_images: PAMJ-37-355-g002.jpg
case_images: PMC7992397_01_PAMJ-37-355-g002.jpg
case_images: F2
case_images: The transthoracic echocardiography (TTE) readily showed two distinct masses occupying the right ventricle outflow tract measuring respectively 15 x 9 mm and 14 x 7 mm, and a large well-defined mass (22 x 33mm) in the right atrium attached to the inter atrial septum (Figure 1), a subcostal view revealed that the mass seemed to originate from the inferior vena cava (IVC) (Figure 2), hence suggestive of a thrombus.
case_images: filling defect extending from the inferior vena cava (white arrow) to the right atrium (black arrow)
case_images: PAMJ-37-355-g003.jpg
case_images: PMC7992397_01_PAMJ-37-355-g003.jpg
case_images: F3
case_images: It consistently showed that the mass is extending from the IVC to the right atrium (Figure 3), along with another mass situated in the right ventricle, without evidence of pulmonary embolism.