A Long Right Atrial Thrombus Intermittently Prolapsing into Right Ventricle in a Patient with Recurrent Ischemic Stroke: An Image Report

Zhigang Liu, Salman M. Malik, James S. Gammie, Boaz D. Rosen

Department of Medicine, MedStar Harbor Hospital, Baltimore, USA.
Department of Medicine, MedStar Harbor Hospital, Baltimore, USA Division of Cardiology, MedStar Harbor Hospital, Baltimore, USA.
Division of Cardiac Surgery, University of Maryland Medical Center, Baltimore, USA.

DOI: 10.4236/crcm.2014.35068                

Abstract

A 39-year-old male was admitted for recurrent ischemic strokes. TEE was performed to detect the potential intra-cardiac thrombi and right-to-left shunts. A large hypermobile, echodense, irregular mass was found in the right atrium, which looked like a cluster of grapes. The motion of the components of the mass was synchronized, prolapsing into right ventricle in an octopus-like fashion during diastole. There was no evidence for PFO or other intra-cardiac shunts by color flow Doppler. The patient was referred to surgery and a continuous 30 cm long thrombus spanning from the inferior vena cava to the right ventricle was discovered.

Keywords

Right Atrial Thrombus, Ischemic Stroke, Thrombus in Transit

Conflicts of Interest

The authors declare no conflicts of interest.

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