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Case Reports in Medicine
Volume 2017, Article ID 3161972, 3 pages
Case Report

Incidental Thrombus in Transit Causing Embolic Stroke

1Section of Cardiovascular Medicine, Department of Internal Medicine, Yale University School of Medicine, Yale University, New Haven, CT, USA
2Department of Cardiology, VA Connecticut Healthcare System, West Haven, CT, USA
3Warren Alpert School of Medicine, Brown University, Providence, RI, USA

Correspondence should be addressed to Brian Malm; ude.elay@mlam.nairb

Received 30 November 2016; Accepted 4 April 2017; Published 20 June 2017

Academic Editor: Hisao Ogawa

Copyright © 2017 Brian Malm et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Thrombus in transit leading to paradoxical systemic arterial embolism is a rare echocardiographic finding in patients presenting with embolic stroke. We present a case of a patient who had an atrial thrombus in transit discovered incidentally and later suffered a fatal stroke. Etiologies of cardioembolic stroke and the use of echocardiography in diagnosis and management are briefly discussed.