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Archives of cardiovascular diseases
Volume 106, n° 5
pages 342-344 (mai 2013)
Doi : 10.1016/j.acvd.2011.09.011
Received : 6 September 2011 ;  accepted : 22 September 2011
Pulmonary embolism, aortic root aneurysm and floating left heart thrombus
Embolie pulmonaire, anévrysme de la racine aortique et thrombus flottant du cœur gauche

Figure 1

Figure 1 : 

Transthoracic echocardiogram; a: apical view; b: parasternal long-axis view showing dilated right cavities, 70mm aneurysm of the aortic root and a large serpentine embolus entrapped in the mitral leaflet floating in the left ventricle (white arrow); continuous Doppler of tricuspid regurgitation. RV: right ventricle; LV: left ventricle; DA: dilated aortic root.

Figure 2

Figure 2 : 

Contrast-enhanced computed tomography of the chest showing a bilateral pulmonary embolism with a large embolus in the right pulmonary artery (white arrows) and a dilated right ventricle, associated with a 70mm aneurysm of the ascending thoracic aorta (Ao).

Figure 3

Figure 3 : 

Compression of the right atrium due to enlargement of the aortic root results in horizontal reorientation of the atrial septum. The foramen ovale is in the axis of the inferior vena caval flow, which streams directly toward the reopened foramen ovale.

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