Pulmonary Artery Thrombosis in ASD with Eisenmenger syndrome - A Case Report

A 55 year old man presented with progressively worsening breathlessness for 1 monthand was diagnosed to be having atrial septal defect ostium secondum type Eisenmenger syndromefor the first time. The Echocardiogram showed dilated pulmonary arteries and large thrombi in main,right and left pulmonary arteries. The possibility of in situ thrombus formation was considered morelikely than thromboembolism, as there were none of the acute symptoms expected with theembolisation of such thrombi. Patient was not a known case of ASD and for the first time presentedas ASD with Eisenmenger syndrome with pulmonary thrombosis.