Initial echocardiography. (A) Parasternal short-axis view showing D-shaped left ventricular septum during diastole suggesting right ventricular volume overload. A mobile thrombus periodically appears in the right ventricle. (B) Apical 4-chamber view. Multilobular mobile mass in the right atrium is prolapsing across the tricuspid valve into the right ventricle, consistent with a thrombus-in-transit.

Initial echocardiography. (A) Parasternal short-axis view showing D-shaped left ventricular septum during diastole suggesting right ventricular volume overload. A mobile thrombus periodically appears in the right ventricle. (B) Apical 4-chamber view. Multilobular mobile mass in the right atrium is prolapsing across the tricuspid valve into the right ventricle, consistent with a thrombus-in-transit.

[A] [B]


Echocardiography seven hours later. (A) Parasternal short-axis view showed left ventricular dysfunction. (B) Modified apical 4-chamber view. A previously observed thrombus-in-transit was no longer seen.

[A] [B]


Echocardiography eight days later. Bilateral ventricular size and function normalized. (A) Parasternal short-axis view, (B) apical 4-chamber view

[A] [B]