Tonight's Echocardiogram
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I don't know enough about this, wrt treatment, other than to think that, if you start using "clot busters" you might make that clot small enough to fit through the mitral valve orifice so that it can shoot into the left ventricle and out the aorta.
It's a stroke waiting to happen.
Interestingly, the patient is in sinus rhythm not atrial fibrillation which is usually the setting for such a clot - though, he might have been cardioverted into sinus prior to the echo. Our cardiologists NEVER cardioverted someone in a-fib because a sudden change to sinus could loosen the clot and send it to places where you don't want it to go.