Evidence map›Paper›PMID 41823899›Full record

ArticleJACC. Case reports2026

Rare Right Atrial Thrombus Deferred Atrial Septal Defect Closure and Implantable Cardioverter-Defibrillator Placement.

Sachin Sapkota, Sandesh Murali, Kahtan Fadah, Edgar Ivan Usle Perez, Chalam Mulukutla

Abstract read
In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Sachin SapkotaTexas Tech University Health Science Center El Paso, El Paso, Texas, USA. Electronic address: hinsac12@gmail.com.
Sandesh MuraliTexas Tech University Health Science Center El Paso, El Paso, Texas, USA.
Kahtan FadahTexas Tech University Health Science Center El Paso, El Paso, Texas, USA.
Edgar Ivan Usle PerezEL Paso Cardiology Associates, El Paso, Texas, USA.
Chalam MulukutlaEL Paso Cardiology Associates, El Paso, Texas, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 47-year-old man with nonischemic cardiomyopathy and atrial septal defect (ASD) was scheduled for percutaneous ASD closure and to be followed by implantable cardioverter-defibrillator placement. Preprocedural transesophageal echocardiography unexpectedly revealed a large right atrial thrombus, leading to cancellation of both procedures. The patient was managed conservatively with warfarin. This case illustrates the rarity of right atrial thrombus in patients without atrial arrhythmia or indwelling devices and emphasizes the critical role of preprocedural imaging in preventing potential embolic complications. To our knowledge, this is the first reported case of a right atrial thrombus detected during ASD closure.

Indexed as

atrial septal defectechocardiographysystolic heart failurethrombus

Identifiers

PMID41823899
PMCPMC13104058

What OpenQuestion holds

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Registered trials

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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.