Evidence map›Paper›PMID 39314990›Full record

ArticleAcute medicine & surgery

A case of right atrial thrombus in the Chiari network after blunt cardiac rupture.

Takahiro Oishi, Keisuke Tamagaki, Shuhei Maruyama, Shuji Kanayama, Daiki Wada, Tomoyuki Yoshihara, Fukuki Saito, Kazuhisa Yoshiya, Yasushi Nakamori, Yasuyuki Kuwagata

Abstract readCase Reports
In one paragraph

Article in Acute medicine & surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Takahiro OishiDepartment of Emergency and Critical Care Medicine Kansai Medical University General Medical Center Osaka Japan.ORCID https://orcid.org/0009-0000-9269-6401
Keisuke TamagakiDepartment of Emergency and Critical Care Medicine Kansai Medical University Osaka Japan.
Shuhei MaruyamaDepartment of Emergency and Critical Care Medicine Kansai Medical University General Medical Center Osaka Japan.ORCID https://orcid.org/0009-0009-9836-2870
Shuji KanayamaDepartment of Emergency and Critical Care Medicine Kansai Medical University General Medical Center Osaka Japan.
Daiki WadaDepartment of Emergency and Critical Care Medicine Kansai Medical University General Medical Center Osaka Japan.ORCID https://orcid.org/0000-0002-3404-9924
Tomoyuki YoshiharaDepartment of Emergency and Critical Care Medicine Kansai Medical University General Medical Center Osaka Japan.
Fukuki SaitoDepartment of Emergency and Critical Care Medicine Kansai Medical University General Medical Center Osaka Japan.
Kazuhisa YoshiyaDepartment of Emergency and Critical Care Medicine Kansai Medical University General Medical Center Osaka Japan.
Yasushi NakamoriDepartment of Emergency and Critical Care Medicine Kansai Medical University General Medical Center Osaka Japan.
Yasuyuki KuwagataDepartment of Emergency and Critical Care Medicine Kansai Medical University Osaka Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The Chiari network mostly causes no symptoms but may occasionally be involved in thrombus formation in the right atrium. We present a case of right atrial thrombus discovered in the postoperative course of blunt cardiac rupture. Case Presentation: A 19-year-old female injured in a motor vehicle accident was transported to the hospital in a state of shock. Echocardiography revealed pericardial effusion. Cardiopulmonary arrest was imminent, so a clamshell thoracotomy was performed. A laceration at the right atrial junction of the superior vena cava was observed and sutured. Echocardiography on post-injury day 6 showed a floating thrombus in the right atrium. Anticoagulation therapy was started, the thrombus was reduced, and the patient was discharged on day 27 without sequelae. Six months later, echocardiography showed a filamentous structure and the presence of the Chiari network. Conclusion: Right intra-atrial thrombi are rare and may warrant a search of the Chiari network in conditions where hypercoagulation is anticipated.

Indexed as

anticoagulation therapyblunt cardiac ruptureChiari networkclamshell thoracotomyright atrial thrombus

Identifiers

PMID39314990
PMCPMC11418627

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.