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EDITORIAL
Year : 2015  |  Volume : 25  |  Issue : 2  |  Page : 39

Fatal moving thrombus in right-sided chambers


Department of Cardiac Anesthesia, Dharam Vira Heart Center, Sir Ganga Ram Hospital, Old Rajinder Nagar, New Delhi, India

Date of Web Publication30-Jul-2015

Correspondence Address:
Monish S Raut
Department of Cardiac Anesthesia, Dharam Vira Heart Center, Sir Ganga Ram Hospital, Old Rajinder Nagar, New Delhi - 110 060
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2211-4122.161784

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How to cite this article:
Raut MS, Maheshwari A. Fatal moving thrombus in right-sided chambers. J Cardiovasc Echography 2015;25:39

How to cite this URL:
Raut MS, Maheshwari A. Fatal moving thrombus in right-sided chambers. J Cardiovasc Echography [serial online] 2015 [cited 2021 Jan 16];25:39. Available from: https://www.jcecho.org/text.asp?2015/25/2/39/161784

Dear Sir,

A 52-year male patient presented with severe shortness of breath in casualty. He was in cardiogenic shock with blood pressure of 80/50 mm Hg. He was recently diagnosed with deep venous thrombosis in lower limbs. He was started with in otropic and vasopressor infusion, and was immediately shifted to ICU. Transthoracic echocardiography was done, which revealed freely moving large clot in right atrium and thrombus attached to right ventricular wall [Figure 1] and [Figure 2], [Clip 1] and [Clip 2]. As the echocardiography was being done, the large clot in RA suddenly moved into RV [Figure 3] and [Clip 3] and within a flash of second, the huge clot moved to pulmonary artery [Clip 3]. Patient had severe hypotension and cardiopulmonary resuscitation was initiated. Patient could not be revived back.
Figure 1: Freely mobile clot in RA

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Figure 2: Transthoracic echocardiography 5-chamber view showing clot in RA and thrombus in RV

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Figure 3: Mobile clot in RV

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    Figures

  [Figure 1], [Figure 2], [Figure 3]



 

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