scholarly journals Massive Right Atrial Thrombus Formation Followed by an Atrial Flutter with 1:1 Atrioventricular Conduction in a Patient with Arrhythmogenic Right Ventricular Cardiomyopathy

2016 ◽  
Vol 55 (16) ◽  
pp. 2213-2217 ◽  
Author(s):  
Kanako Ito ◽  
Yu-ki Iwasaki ◽  
Yuhi Fujimoto ◽  
Eiichiro Oka ◽  
Kenta Takahashi ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Atrial Flutter ◽  
Thrombus Formation ◽  
Arrhythmogenic Right Ventricular Cardiomyopathy ◽  
Atrioventricular Conduction ◽  
Right Atrial ◽  
Ventricular Cardiomyopathy ◽  
Atrial Thrombus ◽  
Right Atrial Thrombus

scholarly journals Mobile Right Atrial Thrombi in a Patient with the Hemoglobin SC Disease

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
H. O. Savage ◽  
N. Ding ◽  
O. Eso ◽  
B. Sachdev ◽  
D. L. Lefroy
Keyword(s):  
Atrial Fibrillation ◽  
Heart Disease ◽  
Thrombus Formation ◽  
Structural Heart Disease ◽  
Right Atrial ◽  
Atrial Thrombus ◽  
Right Atrial Thrombus ◽  
Atrial Thrombi ◽  
Intracardiac Thrombi ◽  
Hemoglobin Sc Disease

The formation of Intracardiac thrombi is rare in the absence of structural heart disease or atrial fibrillation. We describe a case of spontaneous right atrial thrombus formation that occurred in a patient with a hypercoagulable condition who had been sub optimally anticoagulated.

scholarly journals P1702 Libman-Sacks endocarditis of the mitral valve combined with right atrial thrombus formation

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
G Klappacher ◽  
D Beitzke
Keyword(s):  
Mitral Valve ◽  
Thrombus Formation ◽  
Arterial System ◽  
Right Atrial ◽  
Atrial Thrombus ◽  
Systemic Embolization ◽  
History Of ◽  
Right Atrial Thrombus ◽  
The Right ◽  
The Brain

Abstract Case presentation A 46-years old female with a history of systemic lupus erythematosus (SLE) was admitted to hospital care after the manifestation of a tonic-clonic generalized seizure. Since this had been the first neurological event, a thorough diagnostic work-up was performed. CT- and MRI-imaging of the brain revealed cerebral microangiopathy and two small fresh ischemic lesions in the left frontal and temporobasal regions, respectively. While the microangiopathy could be reconciled with cerebral SLE-vasculitis, the ischemic lesions pointed to thromboembolism whose source could be potentially cardiogenic. Findings. In fact, the transesophageal echocardiogram showed a small vegetation (5x8 mm) on the posteromedial cusp of the posterior mitral leaflet (P3) with moderate regurgitation, likely to represent Libman-Sacks endocarditis and a potential source of systemic embolization. In addition, a mass of was visible protruding from the fossa ovalis into the right atrium, see figure. It represented a thrombus according to MRI which was subsequently performed. Since no interatrial passage of microbubbles occurred, the foramen ovale was unlikely to be patent and to allow for paradoxical embolism into the brain. However, the right atrial thrombus was compatible with a history of repeated deep venous thrombosis and pulmonary embolism in the recent past. Discussion This case exemplifies the combination of Libman-Sacks endocarditis on the mitral valve with right atrial thrombus formation and ensuing embolism both into the venous and arterial system. It demonstrates the importance of closely monitoring and treating coagulopathies in SLE patients which makes them prone to thrombus formation both in the systemic and pulmonary circulation. Abstract P1702 Figure.

scholarly journals Right atrial thrombus formation after transvenous catheter ablation of the atrioventricular node

1985 ◽  
Vol 6 (6) ◽  
pp. 1428-1430 ◽  
Author(s):  
Klaus-Peter Kunze ◽  
Michael Schlüter ◽  
Angelika Costard ◽  
Christoph A. Nienaber ◽  
Karl-Heinz Kuck
Keyword(s):  
Catheter Ablation ◽  
Thrombus Formation ◽  
Atrioventricular Node ◽  
Right Atrial ◽  
Atrial Thrombus ◽  
Right Atrial Thrombus

scholarly journals First-in-world assessment of outcomes of catheter ablation for atrial arrhythmias in arrhythmogenic right ventricular cardiomyopathy

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
A Gasperetti ◽  
C.A James ◽  
L Chen ◽  
P Compagnucci ◽  
M Casella ◽  
...  
Keyword(s):  
Catheter Ablation ◽  
General Population ◽  
Right Ventricular ◽  
Left Atrial ◽  
Arrhythmogenic Right Ventricular Cardiomyopathy ◽  
Right Atrial ◽  
Atrial Arrhythmias ◽  
Ventricular Cardiomyopathy

Abstract Introduction Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a genetically inherited disease characterized by fibro-fatty infiltrations (FFI). FFI in ARVC patients usually originates in the ventricles, but recent imaging studies showed FFI at the atrial level as well. Effectiveness of catheter ablation (CA) for atrial arrhythmias (AA) in this subset of patients is currently unknown. Purpose Aim of our study is to describe acute and long-term effectiveness of CA for AA in ARVC patients. Methods Nine ARVC registries from Europe, US, and China were retrospectively searched for ARVC patients undergoing CA for AA (namely: atrial fibrillation (AF), atrial tachycardia (AT), and cavo-tricuspid dependent atrial flutter (CTI-FL)). Baseline, procedural, and long-term outcome data were collected. Results Thirty-five pts (86% male, median CHA2DS2-VASc 1 [1–2], HAS-BLED 1 [0–2], and EHRA scores 2 [2–3]) were enrolled, in which a total of 45 CA procedures for AA were performed (left atrial CA: n=19 AF, n=10 AT; right atrial CA: n=16 CTI). Mean age at AA CA was 48.2±14.8 y.o. At baseline, 63% of pts were on oral anticoagulants (OAC) (n=9 warfarin; n=13 NOAC). Catheter ablation was successful and sinus rhythm obtained at the end of the procedure in all patients, with 2 (6%) AF patients requiring electrical cardioversion. Over a median follow-up of 36 [14–74] months, 12 (27%) pts experienced arrhythmia recurrence (left atrial group: n=6 AF recurrences, n=3 AT recurrences; CTI-FL group: n=1 CTI-FL recurrence; n=1 new AF with previous CTI-dependent flutter ablation), with a 1-year follow-up resulting comparable to what has been reported in the literature for the general population. [Figure 1 and 2]. 61% pts were on OAC at last follow-up. Conclusion Age at the time of CA for AA is about 10 years younger in patients with ARVC as compared to the general population. CA for AA in ARVC pts is safe and effective; surprisingly, long-term CA outcomes for AF and left AT result comparable to those reported in the general population, whereas recurrence rates of CTI-dependent flutter seem to be higher. Funding Acknowledgement Type of funding source: None

scholarly journals Pulmonary Embolism with Floating Right Atrial Thrombus Successfully Treated with Streptokinase

2017 ◽  
Vol 7 (1) ◽  
pp. 60-63
Author(s):  
Sahela Nasrin ◽  
Mohammad Salahuddin ◽  
Fathima Aaysha Cader ◽  
Md Jabed Iqbal ◽  
Tahera Nazrin ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Right Ventricular ◽  
Ventricular Dysfunction ◽  
Right Ventricular Dysfunction ◽  
Recombinant Tissue Plasminogen Activator ◽  
Right Atrial ◽  
Haemodynamic Instability ◽  
Atrial Thrombus ◽  
Pulmonary Angiogram ◽  
Right Atrial Thrombus

Massive Pulmonary Embolism (PE) is associated with significant mortality, especially if compounded by haemodynamic instability, right ventricular dysfunction and right atrial thrombus. Thrombolysis can be lifesaving in patients with major embolism and cardiogenic shock, and accelerates the resolution of thrombus. Only three fibrinolytic agents - namely streptokinase, urokinase, and recombinant tissue plasminogen activator (Alteplase) have been approved in the treatment of PE, with studies demonstrating similar safety profiles. We report the case of a 33 year old Bangladeshi female with a history of recent ankle fracture and immobilization, who presented with massive PE, leading to cardiac arrest. Upon rapid resuscitation, urgent echocardiogram revealed right ventricular dysfunction with floating right atrial thrombus, and she was successfully treated with 1.5 million IU of Streptokinase over 2 hours as per accelerated regimen recommended by the European Society of Cardiology (ESC) guidelines, resulting in successful resolution of the right heart thrombus, and significant clinical improvement. Subsequent CT Pulmonary Angiogram confirmed the diagnosis of PE, and she was anticoagulated to a PT/INR of 2.0 to 3.0.Anwer Khan Modern Medical College Journal Vol. 7, No. 1: Jan 2016, P 60-63

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