BMJ Case Reports 2012; doi:10.1136/bcr.01.2012.5554
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Free-floating thrombus in right atrium

  1. Abha Govind2
  1. 1Department of A&E Medicine, Frimley Park Hospital, Camberley, UK
  2. 2Department of Obstetrics and Gynaecology, North Middlesex University Hospital NHS Trust, London, UK
  1. Correspondence to Mr Devesh Sharma, devsharm{at}


An 80-year-old man attended the emergency department (ED) after collapsing in church. When seen he was tachycardic, breathless and hypotensive. The ECG showed tachycardia. ED ultrasound showed an enlarged right ventricle with tricuspid regurgitation (video 1). Further examination revealed a lesion in the right atrium prolapsing into the right ventricle (figures 1 and 2 and video 2). Diagnosis of pulmonary embolism …

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