Right Atrial Thrombus as a Cause of Acute Pulmonary Embolism: A Case Report
DOI:
https://doi.org/10.56294/shp2024399Keywords:
right atrial thrombus, acute pulmonary embolism, echocardiography, computed tomography, oral anticoagulationAbstract
Thrombi mainly form in the left heart chambers, particularly in dilated atria and in the context of atrial fibrillation. The presence of thrombi in the right atrium is uncommon; they are more often the result of peripheral venous circulation emboli, and less frequently, they originate in situ. In Latin America, the incidence of deep vein thrombosis is approximately 1 case per 1,000 people per year, and that of pulmonary embolism is 0.5 cases per 1,000 people per year. This clinical case presents a 64-year-old male patient diagnosed with a serpentine thrombus in the right atrium and dilated right heart chambers, successfully treated with oral anticoagulation.
References
Lenihan DJ, Yusuf Wanieque S. Echocardiography. In: Braunwald E. Tratado de Cardiología. Texto de medicina cardiovascular. 10th ed. Barcelona: Elsevier; 2016. p. 1863.
Otto CM, Gibbons Schwaegler R, Freeman RV. The Practice of Clinical Echocardiography. Spanish edition, 2nd ed. 2012. Chapter 15: Cardiac masses and evaluation of cardiac sources of embolism, pp. 322–341.
Talledo O, Carranza M, Lari N. Right heart thromboembolism: management with thrombolytics. Rev Peru Cardiol. 2008;34(1):45–49.
Saric M, Armour AC, Arnaout MS, et al. Guidelines for the Use of Echocardiography in the Evaluation of a Cardiac Source of Embolism. 2016. p. 32.
Konstantinides S, Torbicki A, Agnelli G, Danchin N. ESC Guidelines on the diagnosis and treatment of acute pulmonary embolism. Eur Heart J. 2014.
Armstrong WF, Ryan T. Feigenbaum’s Echocardiography. 8th ed. 2019. Chapter 21, pp. 2410–2424.
Turgut O, Yalta K, Birhan Y, et al. Free-floating biatrial thrombi with concomitant saddle pulmonary embolism. Int J Cardiol. Published online January 19, 2009. https://www.internationaljournalofcardiology.com/article/S0167-5273(08)01440-X/abstract
Arnold SV. Manual Washington de Ecocardiografía. Spanish edition. 2013. Chapter 18.
Chartier L, Béra J, Delomez M, Asseman P, Beregi JP, Bauchart JJ, et al. Free-floating thrombi in the right heart: diagnosis, management, and prognostic indexes in 38 consecutive patients. Circulation. 1999;99(21):2779–2783.
Torbicki A, Galie N, Covezzoli A, Rossi E, De Rosa M, Goldhaber M. Right heart thrombi in pulmonary embolism. J Am Coll Cardiol. 2003;41:2245–2251.
Piñeiro D. Ecocardiografía para la toma de decisiones clínicas. Buenos Aires: Editorial Médica Panamericana; 2005.
Baquer M, Rodríguez L, Estallo L, Barba A. Paradoxical embolism coinciding with pulmonary thromboembolism. Rev Fed Arg Cardiol. 2006;35:50–52.
Contreras Zárate M, Jiménez Magaña F, Robles Aguilera DA, Gómez García A. Right heart thrombi in transit resolved with thrombolysis: case report. Rev Mex Cardiol. 2015 Jul–Sep.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Agustina Campo (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.
