A 78-year-old man presented with shortness of breath and lower limb edema. Echocardiogram showed severely decreased biventricular function with a large clot straddling the patent foramen ovale extending from the right atrium into the left atrium and ventricle.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844037PMC
http://dx.doi.org/10.14797/mdcvj.1532DOI Listing

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