case_images: PMC9343630_01
case_images: (A,B) CT angiogram showing interruption of the contrast at the aorto-iliac arterial level correlated with embolization at the aortic bifurcation (saddle embolus) with thrombus propagation. The blud arrow point to no visualization of the right external iliac artery.
case_images: fped-10-944627-g0001.jpg
case_images: PMC9343630_01_fped-10-944627-g0001.jpg
case_images: F1
case_images: Computed Tomography Angiography (CTA) of bilateral lower extremity showed complete occlusion of the terminal part of the abdominal aorta and both common iliac arteries with no visualization of the right external iliac artery, the common femoral artery, and a short segment of the proximal popliteal artery (Figure 1).
case_images: Chest x-ray showing cardiomegaly with a prominent atrium.
case_images: fped-10-944627-g0002.jpg
case_images: PMC9343630_01_fped-10-944627-g0002.jpg
case_images: F2
case_images: Chest X-ray showed cardiomegaly with a prominent left atrial wall (Figure 2).
case_images: (A) Apical four chamber view showing bi-atrial dilatation with normal ventricles size. (B) A thrombus mass in the left atrium close to the left atrial appendage (yellow circle). (C) A thrombus mass in the left lower pulmonary vein.
case_images: fped-10-944627-g0003.jpg
case_images: PMC9343630_01_fped-10-944627-g0003.jpg
case_images: F3
case_images: Echocardiography revealed a hugely bi-atrial enlargement, two thrombus masses were seen in the left atrium close to the left atrial appendage and left lower pulmonary vein, normal sized ventricles with mildly hypertrophic walls, normal pericardium with Fractional shortening 42% (Figure 3).