What question did this study set out to answer?

To describe a case of four-chamber cardiac thromboembolism and its clinical implications.

February 22, 2026

Heartsick: a case of four-chamber cardiac thromboembolism

Key Points

To describe a case of four-chamber cardiac thromboembolism and its clinical implications.
Case report analysis of intracardiac thromboembolism
Review of clinical contexts including ischaemic and valvular heart disease
Examine associations with cardiac arrhythmia, sepsis, and thrombus formation.
Identified risks of right-sided cardiac thrombus
Associated pulmonary embolism with life-threatening outcomes
Highlighted the role of sepsis and valvular heart disease in thrombus formation.

Abstract

Background: Intracardiac thromboembolism is an infrequently reported phenomenon which may arise in a range of clinical contexts including severe ischaemic and valvular heart disease as well as cardiac arrhythmia. 1 Right-sided cardiac thrombus, specifically, may result in life-threatening pulmonary embolism and paradoxical stroke. 2 Sepsis and disseminated intravascular coagulopathy may further potentiate thrombus formation.

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