Floating Mobile Mass That Is Probably Thrombus

Floating Thrombus in Aortic Arch

Floating thrombi in the aortic arch are very rare and an unusual source of systemic embolism. Herein, a case of a 3-cm thrombus in the aortic arch is reported. It was a floating, highly mobile thrombus attached to the lesser curvature of the aortic arch. The patients had a hypercoagulable disorder induced by protein C and S deficiency. The thrombus was operatively removed with a favorable outcome.

Free-floating thrombus in the left atrium.

From the Second Department of Cardiology, Attikon University Hospital, Athens, Greece. Manuscript received August 23, 2010; accepted September 6, 2010. A72-year-old, asymptomatic patient with a history of permanent atrial fibrillation was admitted to our hospital for an echocardiographic follow-up 6 months after a mitral valve replacement. Two-dimensional transthoracic and transesophageal echoc...

Free-floating thrombus in the aortic arch

Freely floating thrombus in the left atrium.

An 88–year-old male with chronic renal failure (creatinine 2.5 mg/dl) was admitted to the hospital with dyspnoea. Transthoracic echocardiography revealed a mass (Fig. 1) rotating in the left atrium (Supplementary Video 1) towards the mitral annulus (Supplementary Video 2), leading to mitral stenosis. The mass was successfully removed. Supplementary material (Videos 1 and 2) is available at EJCT...

Left atrial appendage mass: is it always a thrombus?

Myxoma is the most common benign tumor of the heart, but it is very rare for it to originate from the left atrial appendage. Distinguishing between a mass, a thrombus, and a tumor in the body of the left atrium with preoperative transthoracic or transesophageal echocardiography is very difficult, even more so in patients with mitral valve disease and chronic atrial fibrillation. A 50-year-old m...