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Figure captions
Figure 1. Chest CT scan axial slices demonstrating a perfusion defect
(yellow arrows) in RSPV compatible with a thrombus protruding in left
atrium.
Figure 2. Transesophageal echocardiography and fusion imaging
reconstruction. A) Biplane midesophageal view: right pulmonary vein view
(left panel) and derived orthogonal view (right panel) showing a large
mass originating from the RSPV. B) Reconstruction of virtual
transesophageal views from CT dataset. These images were obtained by
tracing the esophagus (dotted green line) in the CT thorax scan dataset.
Left and right panel reproduce the corresponding echocardiographic image
above allowing to identify the hyperdense formation originating from the
RSPV (yellow arrows) and protruding into the LA. C) Volume rendering and
the angiographic fusion imaging reconstruction of the virtual
transesophageal study.
Figure 3. Three-dimensional echocardiographic reconstruction of LA
displayed from “en-face” perspective showing the origin of the
thrombotic formation from RSPV close to interatrial septum.
Supplemental Material Figure I: Multiple ischemic cerebral lesions
(yellow arrows) at brain CT and MRI scans.
Supplemental Material Figure II: Transesophageal echocardiographic
medioesophageal RSPV modified view (left panel) and the same acquisition
(right panel) with real-time orthogonal plane.
Supplemental Material Figure III: Transesophageal three-dimensional
reconstruction of LA from an “en-face” view (right panel) and the same
image obtained with volume rendering reconstruction from the CT scan
acquisition (left panel) with the thrombus (yellow arrows).
Video I: Transesophageal echocardiographic medioesophageal RSPV modified
view with real-time orthogonal plane.
Video II: Transesophageal three-dimensional reconstruction focus on the
thrombus.
Video III: Transesophageal three-dimensional reconstruction with
thrombus from an “en-face” view.