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.