Figure 1

Echocardiogram showing the thrombus in transit trapped between the permanent pacemaker leads: [A] four-chamber view of two dimensional transthoracic echocardiography; [B] modified mid-esophageal aortic short-axis view of two dimensional transesophageal echocardiography (80°); [C/D] three-dimensional offline reconstruction of transesophageal echocardiography (80°); [LA] left atrium; [LV] left ventricle; [RA] right atrium; [thick arrow] pace wire; [broken arrow] worm-like thrombus.