Discussion and conclusion
It is very unusual to visualize a pulmonary artery thrombus on
transthoracic echocardiography (TTE). This is the first case of a
visualized pulmonary arterial thrombus in an intermediate-risk APE
patient by transthoracic echocardiography. In this case report we
demonstrate how transthoracic echocardiography permits to obtaining a
new view, which allows real visualization of the moving thrombosis
during the cardiac cycle. First, two dimensional echocardiograms of the
parasternal long axis view were obtained. The right pulmonary artery
view was obtained by placing the transducer inclination 30-45 degree to
the chest wall at the second intercostal space immediately to the right
of the sternum (Figure3). Thus, we propose the new
transthoracic echocardiography view as the tool of choice to evaluate
the change of the thrombosis and treatment effect.