The case of a 71 years old male that suddenly presents ischemic brain signs and symptoms is presented. He had a previous history of chronic atrial fibrillation, mitral and aortic valve protheses, heart failure and bleeding related to anticoagulation. A transesophageal echocardiogram was performed as part of the assessment, showing a gigantic left atrial mural thrombus that disappeared after 9 months of anticoagulation therapy.
