Key result
Echocardiography detects a ~9-cm floating right heart thrombus causing bilateral PE after syncope.
Case Report (n=1)
No
Highlights the pivotal role of echocardiography in the diagnostic workup of unexplained syncope to detect rare but critical conditions like right heart thrombus.
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Echocardiography may detect right heart thrombi in unexplained syncope; leaves open whether routine use improves outcomes in the elderly.
Here, we describe a rare echocardiographic finding of a floating right heart thrombus in an elderly woman who presented with an unexplained syncope. Our case demonstrates the pivotal role of echocardiography in the workup of patients admitted with syncope.
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Al-Kasasbeh et al. (2020) conducted a case report in Floating right atrial and ventricular thrombus, bilateral pulmonary embolism, and syncope (n=1). Intravenous unfractionated heparin followed by rivaroxaban was evaluated on Clinical stabilization and resolution of right heart thrombus. Transthoracic echocardiography identified a 9.0 cm x 1.0 cm floating right heart thrombus causing bilateral pulmonary embolism in an 89-year-old woman with syncope.
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