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

doi:10.4236/crcm.2014.35068

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

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

Cite this paper: Liu, Z. , Malik, S. , Gammie, J. and Rosen, B. (2014) A Long Right Atrial Thrombus Intermittently Prolapsing into Right Ventricle in a Patient with Recurrent Ischemic Stroke: An Image Report. Case Reports in Clinical Medicine, 3, 309-313. doi: 10.4236/crcm.2014.35068.

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