case_images: PMC9508363_01
case_images: PMC9508363_02
case_images: mid-esophageal 4-chambers view showing the free-floating thrombus in the left atrium and the mural one which is adhered to the left appendage
case_images: PAMJ-42-197-g001.jpg
case_images: PMC9508363_02_PAMJ-42-197-g001.jpg
case_images: F1
case_images: In order to identify more precisely the characteristics of the mass, we performed transesophageal echocardiography, which showed that this mass was spherical and smooth shaped, located in the left atrial chamber, free-floating without evidence of any attachment, and measuring 35x25 mm in diameters (Figure 1).
case_images: operative view showing the mass in the left atrium; the surgical specimen is a spherical mass with a smooth surface
case_images: PAMJ-42-197-g002.jpg
case_images: PMC9508363_02_PAMJ-42-197-g002.jpg
case_images: F2
case_images: After cardiotomy, the left atrium was found to be enlarged and (presence of) a round, smooth, nonpedunculated thrombus measuring 35 mm in diameter was found within floating freely in the cavity of the atrium (Figure 2).
case_images: the free-floating thrombus ball removed from the left atrium
case_images: PAMJ-42-197-g003.jpg
case_images: PMC9508363_02_PAMJ-42-197-g003.jpg
case_images: F3
case_images: Indeed, no attachment of the mass was found at operation (Figure 3).