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.
Cite this paper
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, 309-313. doi: 10.4236/crcm.2014.35068
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