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Case Reports in Pulmonology
Volume 2015, Article ID 481357, 4 pages
http://dx.doi.org/10.1155/2015/481357
Case Report

Right Heart Transvalvular Embolus with High Risk Pulmonary Embolism in a Recently Hospitalized Patient: A Case Report of a Therapeutic Challenge

1Department of Internal Medicine, Wyckoff Heights Medical Center, Brooklyn, NY 11237, USA
2Division of Cardiology, Department of Internal Medicine, Wyckoff Heights Medical Center, Brooklyn, NY 11237, USA
3Department of Cardiothoracic Surgery, Lenox Hill Hospital, North Shore-Long Island Jewish Health System, New York, NY 10075, USA
4Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Wyckoff Heights Medical Center, Brooklyn, NY 11237, USA

Received 19 May 2015; Accepted 19 August 2015

Academic Editor: Akif Turna

Copyright © 2015 Gyanendra Kumar Acharya 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.

Supplementary Material

This is a 2D-Echocardiogram video clip, apical 4-chamber view, of the heart showing effect of RHTVE/saddle embolus. The RV is seen markedly enlarged with the visualized interventricular septum “outpouching” towards the LV presumably under extreme RV pressure overload (secondary to saddle embolus in the pulmonary arteries; not shown here). Also visible is the embolus (RHTVE) traversing the tricuspid valve with greater portion in the RV and a proximal end in the RA. See also case presentation for more explanation. RHTVE- Right Heart Transvalvular Embolus; RV- Right Ventricle; LV- Left Ventricle.

  1. Supplementary Material