title: What to do with an atrial thrombus?
abstract: This case report is about an 84-year-old woman admitted with right atrial thrombus attached to a pacemaker lead, diagnosed by transesophageal echocardiography. Surgical treatment was rejected due to the high operative risk, and percutaneous stenting was performed with success; unfortunately, the outcome was fatal and the patient died. We review here the clinical features of right atrial thrombi, including the epidemiology, clinical manifestations, diagnosis, and treatment, which is sometimes controversial.
authors.affiliation: Laboratorio de Ecocardiografía, Instituto Cardiovascular, Hospital Clínico Universitario de San Carlos, C/Profesor Martín lagos s/n, 28040 Madrid, Spain. rocicarda@hotmail.com
authors.forename: Rocío
authors.initials: R
authors.lastname: Carda
authors.forename: Carlos
authors.initials: C
authors.lastname: Almería
authors.forename: Vera
authors.initials: V
authors.lastname: Lennie
authors.forename: Viviana
authors.initials: V
authors.lastname: Serra
authors.forename: José Luis
authors.initials: JL
authors.lastname: Zamorano
mesh_terms: D000369:Aged, 80 and over; D001281:Atrial Fibrillation / Q000150:complications / Q000628:therapy; D002304:Cardiac Pacing, Artificial; D017548:Echocardiography, Transesophageal; D017809:Fatal Outcome; D005260:Female; D006325:Heart Atria / Q000000981:diagnostic imaging; D006331:Heart Diseases / Q000000981:diagnostic imaging*; D006801:Humans; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D015607:Stents; D013927:Thrombosis / Q000000981:diagnostic imaging* / Q000209:etiology; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging