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European Journal of Echocardiography 2008 9(1):204-206; doi:10.1093/ejechocard/jem072
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

What to do with an atrial thrombus?

Rocío Carda*, Carlos Almería, Vera Lennie, Viviana Serra and José Luis Zamorano

Laboratorio de Ecocardiografía, Instituto Cardiovascular, Hospital Clínico Universitario de San Carlos, C/Profesor Martín lagos s/n, 28040 Madrid, Spain

Received 15 July 2007; accepted after revision 30 September 2007.

* Corresponding author. Tel: +34 91 3303148; fax: +34 91 3303293. E-mail address: rocicarda{at}hotmail.com


  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.

Keywords: Right atrial mass; Transesophageal echocardiography; Pacemaker leads thrombosis


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