Abstract
Case report: An 88 year-old woman was admitted with a 2-week history of generalized weakness, anorexia, and repeated falls. Clinical examination revealed atactic gait. Her blood pressure was 150/70 mm Hg. Cerebral computed tomography revealed nonspecific vascular leukoencephalopathy. Transthoracic echocardiography showed a large mass across the atrial septum, floating in both atria. The right ventricle was dilated and its systolic function appeared moderately depressed. Peak velocity of the regurgitant tricuspid flow was 3.5 m/s, consistent with pulmonary hypertension. Transesophageal echocardiography showed a large thrombus (5.1 cm in length) in the foramen ovale (Figure 1). In …
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