Saddle Pulmonary Embolus Caught in Transit across a Patent Foramen Ovale

Figure 3

Echocardiography: (a) TTE apical four-chamber view demonstrating elongated LA thrombus (red arrows) prolapsing through PFO and LA into the LV during the diastole. Green arrows depict mitral valve leaflets. (b) The same clot is clearly visualized on TEE attached to interatrial septum. Yellow arrow depicts the location of PFO. (c) TTE subcostal view enlarged right heart chambers exceeding their left counterparts in size.

(a)

(b)

(c)