A worm in the right atrium, video

It is great to achieve the best result of treatment with minimum cost and risk. This is such story. Watch the video:

 

Initially, the central question was about the origin of the "worm". Thrombus of vegetation due to IE?
After all, I think that this patient with atrial fibrillation has right atrium thrombosis with subsequent PE and pulmonary infarction.

P.S. After ten days of enoxaparin rivaroxaban was prescribed.

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