Concurrent Mobile and In-Situ Types of Right Heart Thrombi

Right-sided Heart Thrombi is a life-threatening condition that needs to an immediate therapy. It is detected by trans-thoracic echocardiography (TTE). Generally, thrombolysis is considered as a treatment of choice but there is no consensus about the therapeutic choice. We present a case of multiple right atrial thrombi with concurrent mobile and broad-based in-situ thrombi in a patient with history of Chronic Obstructive Pulmonary Disease (COPD) that completely resolved by thrombolysis following a failed heparin infusion.