Incidental finding of a left atrial thrombus during surgical management of a massive pulmonary embolism
A 58-year-old male presented with a hemodynamically significant pulmonary embolism.Computed tomography angiogram revealed a saddle embolus in the main pulmonary artery with extensive clot burden affecting all lobes and right heart strain.Transthoracic Epsom Salts echocardiogram displayed a dilated right ventricle with reduced systolic function.The