Traveling Thrombus in the Right Atrium: Is It the Final Destination?

Abstract

Right heart thrombus is rare in structurally normal heart. Here, we report a 74-year-old man with a right atrial thrombus who presented with shortness of breath.

Fatal massive and recurring pulmonary embolism followed by thrombocytopenia developed after heparin and warfarin treatment in a patient with metastatic breast cancer with an incidental large right atrial thrombus

“…Mobile right heart thrombus is a severe presentation of thromboembolic disease, which presents as an imminent pulmonary embolism and usually coexists with a massive embolism [2]. Surgical thromboembolectomy with exploration of the right chambers is considered as the classical treatment of right heart thrombus [3]. In the present case, the RA thrombus was incidentally detected on echocardiography, but the patient's poor general condition did not allow for surgical treatment, which requires general anaesthesia.…”

Late presentation of right atrial thrombus following bilateral lung transplant

“…It can result in complete circulatory collapse if it embolizes, therefore, prompt surgical management is indicated. 1 Any new cardiac mass in an immunosuppressed patient raises concern about malignancy as the primary diagnosis; histopathologic assessment is critical. This case represents a rare occurrence of likely de-novo RA thrombus in a structurally normal heart without any evidence of peripheral venous thrombosis or concomitant pulmonary embolism in a patient who had previously undergone lung transplantation.…”

Right Heart Thrombus-in-Transit: Detection and Migration during Transthoracic Echocardiography – Case Report

“…Embolia pulmonar ocorre em 40% dos pacientes, associada a bom prognóstico e com taxa de mortalidade de 4% [4][5][6] . Trombo tipo A é coágulo venoso periférico que acidentalmente se aloja no coração direito em seu caminho para os pulmões 7,8 , tem formato semelhante a uma "minhoca", é extremamente móvel e está associado à ocorrência de embolia pulmonar submaciça ou maciça em 98% de casos 5 e a um prognóstico muito ruim 7 . É este o tipo conhecido como trombo em trânsito no coração direito (TTCD) 1,8 .…”