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The invaluable observation of a hazardous patient with a floating and Gecko-like-shaped right atrial thrombus diagnosed by echocardiography and computed tomography imaging

  • Yasuyo Takeuchi
  • Hiroki Sakamoto
  • Genichi Sakaguchi
  • Toshio Shimada
Case image in cardiovascular ultrasound
  • 25 Downloads

Notes

Compliance with ethical standards

Conflict of interest

Yasuyo Takeuchi, Hiroki Sakamoto, Genichi Sakaguchi and Toshio Shimada declare that they have no conflict of interest.

Human rights

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1964 and later revisions.

Informed consent

Informed consent was obtained on his own will.

Supplementary material

Movie 1. TEE revealed a huge thrombus in the right atrium by the cross-sectional view, which also revealed “Gecko-like” appearance. Supplementary material 1 (MP4 1082 kb)

Movie 2. Three-dimensional echocardiography successfully demonstrated the floating right atrial thrombus. Supplementary material 2 (MP4 855 kb)

References

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    Goldhaber SZ, Visani L, De Rosa M, et al. Acute pulmonary embolism: clinical outcomes in the International Cooperative Pulmonary Embolism Registry (ICOPER). Lancet. 1999;353:1386–9.CrossRefPubMedGoogle Scholar
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    Torbicki A, Galie N, Covezzoli A, et al. Right heart thrombi in pulmonary embolism. J Am Coll Cardiol. 2003;41:2245–51.CrossRefPubMedGoogle Scholar
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    Kronik G. The European Cooperative Study on the clinical significance of right heart thrombi. Eur Heart J. 1989;10:1046–59.CrossRefGoogle Scholar
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    Jaff MR, McMurtry MS, Archer SL, et al. Management of massive and submassive pulmonary embolism, iliofemoral deep vein thrombosis, and chronic thromboembolic pulmonary hypertension: a scientific statement from the American Heart Association. Circulation. 2011;123:1788–830.CrossRefPubMedGoogle Scholar

Copyright information

© Japanese Society of Echocardiography 2018

Authors and Affiliations

  1. 1.Department of Clinical Laboratory MedicineShizuoka General HospitalShizuokaJapan
  2. 2.Department of CardiologyShizuoka General HospitalShizuokaJapan
  3. 3.Department of Cardiovascular SurgeryShizuoka General HospitalShizuokaJapan
  4. 4.Clinical Research CenterShizuoka General HospitalShizuokaJapan

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