FIGURE 2 Intraoperative TEE, postoperative TTE, and surgical
images. (A) and (D) 2D-TEE color Doppler showed an ASD device with
double-sided thrombus. (B) and (E) 3D-TEE demonstrated a fan-like
left-atrial thrombus attached to the device and a short rod-like
right-atrial thrombus attached to the device. (C) and (F) Surgical
resection of ASD device fragments with bilateral thrombus. (G) Biplanar
TEE showed a giant thrombus floating in the left atrium. (H) Left
atriotomy showed white thrombus attached to the device. (I)
Postoperative TTE showed continuous atrial septum without shunt and
thrombus. TEE, transesophageal echocardiography; TTE, transthoracic
echocardiography; ASD, atrial septal defect. White arrows represent
thrombus.
VIDEO 1 Mid-esophageal four chamber biplanar view demonstrating
a giant thrombus floating in the left atrium.
VIDEO 2 Three-dimensional TEE left atrial view showing a giant
thrombus attach to the left-side of the device.
VIDEO 3 Three-dimensional TEE showing a right atrial thrombus
attach to the device.