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Nonbacterial thrombotic endocarditis associated with cancer of unknown origin complicated with thrombus in the left auricular appendage: case report
Authors:Kazuko Norisada  Hidekazu Tanaka  Tetsuari Onishi  Akihiro Kaneko  Takayuki Tsuji  Kohei Yamawaki  Keiko Ryo  Kazuhiro Tatsumi  Kensuke Matsumoto  Natsuko Miura  Jun Saegusa  Yukiko Morinaga  Shigeo Hara  Hiroya Kawai  Ken-ichi Hirata
Affiliation:1. Echo lab, Division of Cardiology Medicine, West China Hospital of Sichuan University, Chengdu, 610041, China
2. Division of Cardiology Medicine, West China Hospital of Sichuan University, Chengdu, 610041, China
Abstract:We report a case of a 52-year-old patient with dilated cardiomyopathy who presented with worsening heart failure. Two-dimensional transthoracic echocardiography and real-time three dimensional transthoracic echocardiography showed severe dilated cardiac chambers, impaired ejection fraction and a mobile right atrial thrombus 2.6 × 1.0 cm in size, traversing the right atrial cavity during the whole cardiac cycle. After one week therapeutic anticoagulation, echocardiography confirmed no evidence of residual thrombus.
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