Article Abstract

Pulmonary embolism in transit

Authors: Anna Koulova, Ramin Malekan, Wilbert S. Aronow, Howard A. Cooper


A 65-year-old woman with recently diagnosed ovarian cancer presented with near syncope, tachypnea, and hypoxia. Transthoracic echocardiography revealed a dilated and hypokinetic right ventricle and a large, mobile mass in the right atrium prolapsing across the tricuspid valve. She was diagnosed with pulmonary embolism in transit and emergent embolectomy was recommended.