Welcome to today’s sonography update involving a right atrial thrombus found as result of an echocardiography exam. The patient had no cardiac symptoms; however, the cardiologist wanted to perform an Echo exam before patient was released from hospital. Echo looked somewhat normal with the exception of EF in the 18% range. Also, found a “strawberry-shaped” floating object in the right atrium that measured 3 x 2 cm. A subsequent TEE and surgical removal confirmed it was a thrombus in the right atrium. Later, patient informed echocardiographer that he had undergone a previous Echo exam about six months prior resulting in an EF in the 45% range.
So, listen to the video for details of the echocardiographic findings. My professional suggestion from this experience is for all diagnostic medical sonographers, especially Echo/Cardiovascular technicians, to make sure you follow standard protocol to ensure and decrease the prospect of missing some cardiac defect.
Again, Thanks to the Academy of Ultrasound and to all of you who follow this sonography series. As always, feel free to comment and share with collegues via FaceBook, Twitter, and other social media you may use. Also, if there are any questions you may want to ask or information to add; please, feel free to do so.