What to do with an atrial thrombus?
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.
Carda
Rocío
R
Laboratorio de Ecocardiografía, Instituto Cardiovascular, Hospital Clínico Universitario de San Carlos, C/Profesor Martín lagos s/n, 28040 Madrid, Spain. rocicarda@hotmail.com
Almería
Carlos
C
Lennie
Vera
V
Serra
Viviana
V
Zamorano
José Luis
JL
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