Free floating thrombus in the right heart causing pulmonary embolism.

An 80-year-old patient complained of 1 week history of progressive exertional dyspnoea. The patient had a traumatic right pubic ramus fracture following a fall a month before admission. On clinical examination, there was evidence of right heart failure. The electrocardiogram demonstrated normal sinus rhythm with rate of 80 beats/min and an old anterior infarct. The chest radiograph was unremarkable. Transthoracic echocardiography showed a …