Abstract

Postpartum period carries high risk of pulmonary embolism due to hypercoagulability state. Pulmonary embolism (PE) should be suspected in postpartum patient who has short history of progressing right heart failure without underlying heart disease. We report a case of pulmonary embolism with large right atrial thrombus without deep vein thrombosis in a 27 years old lady, para 1+2,post-delivery day 30 who presented with sudden onset of dyspnea and giddiness. She was diagnosed with right atrial thrombus complicated by acute pulmonary embolism. An emergency operation was performed and intraoperatively a pedunculated mobile mass is attached to the right atrial wall mimicking atrial myxoma, with incidental finding of patent foramen ovale. The mass was removed and concomitant pulmonary embolectomy was performed. The postoperative course was uneventful with the patient subsequently discharged.

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