case_images: PMC11811767_01
case_images: Chest X-ray showing right central venous catheter (asterisk), endotracheal tube (star), nasogastric tube (circle) and right lung consolidation (arrow).
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case_images: PMC11811767_01_ytaf049f1.jpg
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case_images: The central line appeared properly placed without complications (Figure 1).
case_images: A pedunculated mass in the right atrium (arrow).
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case_images: PMC11811767_01_ytaf049f2.jpg
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case_images: Blood cultures were repeated, and a transthoracic echocardiogram (TTE) was performed, revealing an atrial pedunculated mass partially obstructing the tricuspid valve (TV) with a peak transvalvular gradient of 15 mmHg and a right atrial pressure of 11 mmHg (Figure 2).
case_images: A large pedunculated mass seems to have a pedicle originating from the inferior vena cava (arrow).
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case_images: PMC11811767_01_ytaf049f3.jpg
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case_images: Repeated blood culture results were negative for aerobic and anaerobic bacteria, and follow-up TTE showed an increase in the size of the right atrial pedunculated mass with diastolic extension to the inferior vena cava (IVC) where the pedicle seems to be attached to (Figure 3).
case_images: Surgical removal of the right atrial mass.
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case_images: PMC11811767_01_ytaf049f4.jpg
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case_images: During the procedure, the large thrombus was removed from the right atrium (Figure 4).