ArticleThe Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology2020
Management of a huge right atrial thrombus in a patient with multiple comorbidities.
Article in The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Right atrial thrombus in a neonate with Aspergillus colonization secondary to central venous catheter: a case report.European heart journal. Case reports · 2025Article
- A Vanishing Clot: The Disappearance of a Free-Floating Right Atrial Thrombus Just Before Urgent Surgical Thrombectomy.Case reports in critical care · 2025Article
- Case Report: Embolus in transit vs.Frontiers in cardiovascular medicine · 2025Article
- Characteristics and outcomes of angiovac-assisted debulking of intracardiac masses, thrombi, and endocarditis.Clinical research in cardiology : official journal of the German Cardiac Society · 2023Article
- Current trends in image-guided chest interventions.Respirology (Carlton, Vic.) · 2022Review
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7 authors.
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Abstract
backgroundFloating right heart thrombi (RHT) represent an underdiagnosed, potentially hazardous, and to some extent rare phenomenon in patients presenting with acute pulmonary embolism (APE). Emergent treatment is usually required for such a condition. CASE PRESENTATION: A 19-year-old young lady presented with progressive shortness of breath, marked renal impairment, thrombocytopenia, and a highly oscillating huge right atrial mass. After she was admitted to the intensive care unit, she arrested in asystole and was resuscitated, and her electrocardiogram (ECG) showed evidence of acute anterior myocardial infarction. Urgent cardiac surgery to remove the right atrial mass was proposed by the heart team as the best option of management. Surgery was emergently performed with extra-corporeal membrane oxygenator (ECMO) as a support. Following surgery, mechanical support and vasopressors were successfully weaned and the patient achieved a good recovery.
conclusionsA pulmonary embolism response team (PERT) approach should always be considered where a multidisciplinary team involving a cardiologist, radiologist, cardio-thoracic surgeon, radiologist, and intensivist shall determine the management strategy for a challenging presentation of a massive pulmonary embolism or floating right heart thrombi causing the hemodynamically unstable clinical condition.
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