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Free floating thrombus in the right heart causing pulmonary embolism
  1. Calvin Woon-Loong Chin,
  2. Soo Teik Lim,
  3. Kay Woon Ho,
  4. Zee Pin Ding
  1. National Heart Center Singapore, Singapore
  1. Correspondence to Calvin Woon-Loong Chin, National Heart Center Singapore, SingHealth, Mistri Wing, 17 Third Hospital Ave, Singapore 168752, Singapore; cchin03m{at}

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An 80-year-old patient complained of 1 week history of progressive exertional dyspnoea. The patient had a traumatic right pubic ramus fracture following a fall a month before admission. On clinical examination, there was evidence of right heart failure. The electrocardiogram demonstrated normal sinus rhythm with rate of 80 beats/min and an old anterior infarct. The chest radiograph was unremarkable. Transthoracic echocardiography showed a …

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  • Competing interests None.

  • Provenance and peer review Not commissioned; not externally peer reviewed.