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Doppler Imaging of a Ping Pong Thrombus in the Left Atrium

Shu-I Lin, MD1;  Shu-Fan Kuo, MD1;  Cheng-Ting Tsai, MD1,2;  Ying-Hsiang Lee, MD1,2,3

12/01/2021

Introduction

Video supplement to “A Ping Pong Thrombus in the Left Atrium,” by Lin, et al. (December 2021 Clinical Images).

In this illustrative case, a transesophageal echocardiographic examination in a 69-year-old woman revealed normally functioning mechanical mitral prosthesis and a 4 cm left atrial heterogenous thrombus moving around her left atrium like a ping pong ball. Also visible was a thrombus within the left atrial appendage; the left atrial thrombus moved toward the mitral orifice and was bounced away by the mitral regurgitant jet.

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