Event Title

Caught in the act- A case report

Location

Auditorium Pond Side

Start Date

26-2-2014 10:30 AM

Abstract

Thrombus in both the left and right atrium is a rare clinical entity. Most cases of left atrial thrombus have been reported in association with atrial fibrillation and mitral stenosis.The differential diagnosis of clots and myxomas in the left atrium is mostly based on echocardiography. A thrombus in the right atrium is considered very rare. However, right atrial thrombi in patients with apermanent pacemaker or a history of deep vein thrombosis have been reported. Thrombus in left or right atrium can result in catastrophic consequences due to systemic or pulmonary embolism. Here we report a case of 70 years old man with a large mobile thrombus in the right atrium crossing the patent foramen ovale (PFO) into the left atrium with concomitant lower extremity deep venous thrombosis. He was treated successfully with oral anticoagulation and showed complete resolution of the thrombus on subsequent echocardiographic studies.

Keywords: Thrombus, Deep venous thrombosis, pulmonary embolism, Echocardiography

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Feb 26th, 10:30 AM

Caught in the act- A case report

Auditorium Pond Side

Thrombus in both the left and right atrium is a rare clinical entity. Most cases of left atrial thrombus have been reported in association with atrial fibrillation and mitral stenosis.The differential diagnosis of clots and myxomas in the left atrium is mostly based on echocardiography. A thrombus in the right atrium is considered very rare. However, right atrial thrombi in patients with apermanent pacemaker or a history of deep vein thrombosis have been reported. Thrombus in left or right atrium can result in catastrophic consequences due to systemic or pulmonary embolism. Here we report a case of 70 years old man with a large mobile thrombus in the right atrium crossing the patent foramen ovale (PFO) into the left atrium with concomitant lower extremity deep venous thrombosis. He was treated successfully with oral anticoagulation and showed complete resolution of the thrombus on subsequent echocardiographic studies.

Keywords: Thrombus, Deep venous thrombosis, pulmonary embolism, Echocardiography