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Right atrial thrombus

MedGen UID:
677115
•Concept ID:
C0748428
•
Pathologic Function
Synonyms: Right Atrial Thrombus; Thrombus of right atrium
SNOMED CT: Right atrial thrombus (473359008); Thrombus of right atrium (473359008)
 
HPO: HP:0033138

Definition

A thrombus (i.e., a blood clot formed in situ within the vascular system) located in the right atrium of the heart. [from HPO]

Professional guidelines

PubMed

Iatrogenic Right Atrial Thrombus Complicated by Pulmonary Embolism: Management and Outcomes.
Battisha A, Madoukh B, Sawalha K, Patel B
Curr Cardiol Rev 2021;17(4):e230421188336. doi: 10.2174/1573403X16999201124201632. PMID: 33238847Free PMC Article
Contemporary management and outcomes of infective tunnelled haemodialysis catheter-related right atrial thrombi: a case series and literature review.
Yew MS, Leong AMWM
Singapore Med J 2020 Jun;61(6):331-337. Epub 2019 Oct 8 doi: 10.11622/smedj.2019124. PMID: 31598734Free PMC Article
Management dilemmas in acute pulmonary embolism.
Condliffe R, Elliot CA, Hughes RJ, Hurdman J, Maclean RM, Sabroe I, van Veen JJ, Kiely DG
Thorax 2014 Feb;69(2):174-80. Epub 2013 Dec 16 doi: 10.1136/thoraxjnl-2013-204667. PMID: 24343784Free PMC Article

Recent clinical studies

Etiology

Atrial thrombosis: Not only left, think also about right!
Degiovanni A, Carassia C, De Vecchi S, Erbetta R, Patti G
J Clin Ultrasound 2022 Oct;50(8):1194-1201. doi: 10.1002/jcu.23311. PMID: 36218213Free PMC Article
Hepatocellular carcinoma with right atrial tumor thrombus.
Guo YX
Z Gastroenterol 2021 Feb;59(2):153-161. Epub 2020 Nov 5 doi: 10.1055/a-1275-3780. PMID: 33152793
Silent and dangerous: catheter-associated right atrial thrombus (CRAT) in children on chronic haemodialysis.
Garcia-Nicoletti M, Sinha MD, Savis A, Adalat S, Karunanithy N, Calder F
Pediatr Nephrol 2021 May;36(5):1245-1254. Epub 2020 Oct 30 doi: 10.1007/s00467-020-04743-9. PMID: 33125532Free PMC Article
Right Atrial Thrombosis and Pulmonary Embolism: A Narrative Review.
Anfinogenova ND, Vasiltseva OY, Vrublevsky AV, Vorozhtsova IN, Popov SV, Smorgon AV, Mochula OV, Ussov WY
Semin Thromb Hemost 2020 Nov;46(8):895-907. Epub 2020 Dec 23 doi: 10.1055/s-0040-1718399. PMID: 33368111
Right Atrial Thrombus and Challenges in its Management.
Suratkal V, Ahmed A
J Assoc Physicians India 2018 Dec;66(12):65-68. PMID: 31313553

Diagnosis

Atrial thrombosis: Not only left, think also about right!
Degiovanni A, Carassia C, De Vecchi S, Erbetta R, Patti G
J Clin Ultrasound 2022 Oct;50(8):1194-1201. doi: 10.1002/jcu.23311. PMID: 36218213Free PMC Article
AngioVac Aspiration Thrombectomy of Right Atrial Thrombus is Safe and Effective in Cancer Patients.
Callese TE, O'Brien DP, Wilhalme H, Yang EH, Moriarty JM
Ann Vasc Surg 2021 Nov;77:243-254. Epub 2021 Aug 23 doi: 10.1016/j.avsg.2021.05.057. PMID: 34437971
Iatrogenic Right Atrial Thrombus Complicated by Pulmonary Embolism: Management and Outcomes.
Battisha A, Madoukh B, Sawalha K, Patel B
Curr Cardiol Rev 2021;17(4):e230421188336. doi: 10.2174/1573403X16999201124201632. PMID: 33238847Free PMC Article
Hepatocellular carcinoma with right atrial tumor thrombus.
Guo YX
Z Gastroenterol 2021 Feb;59(2):153-161. Epub 2020 Nov 5 doi: 10.1055/a-1275-3780. PMID: 33152793
Right Atrial Thrombosis and Pulmonary Embolism: A Narrative Review.
Anfinogenova ND, Vasiltseva OY, Vrublevsky AV, Vorozhtsova IN, Popov SV, Smorgon AV, Mochula OV, Ussov WY
Semin Thromb Hemost 2020 Nov;46(8):895-907. Epub 2020 Dec 23 doi: 10.1055/s-0040-1718399. PMID: 33368111

Therapy

AngioVac Aspiration Thrombectomy of Right Atrial Thrombus is Safe and Effective in Cancer Patients.
Callese TE, O'Brien DP, Wilhalme H, Yang EH, Moriarty JM
Ann Vasc Surg 2021 Nov;77:243-254. Epub 2021 Aug 23 doi: 10.1016/j.avsg.2021.05.057. PMID: 34437971
Incidence of catheter-associated right atrial thrombus detected by transthoracic echocardiogram.
Clark JR, Hoffman SC, Shlobin NA, Bavishi A, Narang A
Echocardiography 2021 Mar;38(3):435-439. Epub 2021 Feb 1 doi: 10.1111/echo.14987. PMID: 33523518
Silent and dangerous: catheter-associated right atrial thrombus (CRAT) in children on chronic haemodialysis.
Garcia-Nicoletti M, Sinha MD, Savis A, Adalat S, Karunanithy N, Calder F
Pediatr Nephrol 2021 May;36(5):1245-1254. Epub 2020 Oct 30 doi: 10.1007/s00467-020-04743-9. PMID: 33125532Free PMC Article
Management dilemmas in acute pulmonary embolism.
Condliffe R, Elliot CA, Hughes RJ, Hurdman J, Maclean RM, Sabroe I, van Veen JJ, Kiely DG
Thorax 2014 Feb;69(2):174-80. Epub 2013 Dec 16 doi: 10.1136/thoraxjnl-2013-204667. PMID: 24343784Free PMC Article
Catheter-related right atrial thrombus and pulmonary embolism: a case report and systematic review of the literature.
Burns KE, McLaren A
Can Respir J 2009 Sep-Oct;16(5):163-5. doi: 10.1155/2009/751507. PMID: 19851535Free PMC Article

Prognosis

Deep vein thrombosis and pulmonary embolism after heart transplantation.
Kainuma A, Ning Y, Kurlansky PA, Wang AS, Latif F, Farr MA, Sayer GT, Uriel N, Takayama H, Naka Y, Takeda K
Clin Transplant 2022 Jul;36(7):e14705. Epub 2022 May 20 doi: 10.1111/ctr.14705. PMID: 35545895
Incidence of catheter-associated right atrial thrombus detected by transthoracic echocardiogram.
Clark JR, Hoffman SC, Shlobin NA, Bavishi A, Narang A
Echocardiography 2021 Mar;38(3):435-439. Epub 2021 Feb 1 doi: 10.1111/echo.14987. PMID: 33523518
Hepatocellular carcinoma with right atrial tumor thrombus.
Guo YX
Z Gastroenterol 2021 Feb;59(2):153-161. Epub 2020 Nov 5 doi: 10.1055/a-1275-3780. PMID: 33152793
A case series of right atrial mass in neonates: a diagnostic dilemma.
Ramaswamy VV, Kudumula V, Prathik B, Sanghamitra GS, Suryanarayana N, Rama Rao PV, Surabhi HS, Niranjan HS
J Matern Fetal Neonatal Med 2021 May;34(9):1508-1511. Epub 2019 Jul 3 doi: 10.1080/14767058.2019.1636961. PMID: 31238756
Diagnostic utility and clinical implication of late gadolinium enhancement cardiac magnetic resonance for detection of catheter associated right atrial thrombus.
Plodkowski AJ, Chan A, Gupta D, Lakhman Y, Kukar N, Kim J, Perez-Johnston R, Ginsberg MS, Steingart RM, Weinsaft JW
Clin Imaging 2020 Jun;62:17-22. Epub 2020 Jan 29 doi: 10.1016/j.clinimag.2020.01.021. PMID: 32036237Free PMC Article

Clinical prediction guides

Silent and dangerous: catheter-associated right atrial thrombus (CRAT) in children on chronic haemodialysis.
Garcia-Nicoletti M, Sinha MD, Savis A, Adalat S, Karunanithy N, Calder F
Pediatr Nephrol 2021 May;36(5):1245-1254. Epub 2020 Oct 30 doi: 10.1007/s00467-020-04743-9. PMID: 33125532Free PMC Article
Diagnostic utility and clinical implication of late gadolinium enhancement cardiac magnetic resonance for detection of catheter associated right atrial thrombus.
Plodkowski AJ, Chan A, Gupta D, Lakhman Y, Kukar N, Kim J, Perez-Johnston R, Ginsberg MS, Steingart RM, Weinsaft JW
Clin Imaging 2020 Jun;62:17-22. Epub 2020 Jan 29 doi: 10.1016/j.clinimag.2020.01.021. PMID: 32036237Free PMC Article
Giant congenital right atrial epithelioid-capillary hemangioma with prolonged QT interval: Case report and practical surgical treatment strategy for primary cardiac tumors in children based on 25-year review of 299 cases.
Malakan Rad E, Radmehr H, Vasei M, Rahimi Rastgoo B
Echocardiography 2018 Sep;35(9):1471-1481. Epub 2018 Jul 20 doi: 10.1111/echo.14105. PMID: 30030856
Right atrial appendage function in different etiologies of permanent atrial fibrillation: a transesophageal echocardiography and tissue Doppler imaging study.
Sahin T, Ural D, Kilic T, Bildirici U, Kozdag G, Agacdiken A, Ural E
Echocardiography 2010 Apr;27(4):384-93. Epub 2010 Mar 15 doi: 10.1111/j.1540-8175.2009.01027.x. PMID: 20331694
Right atrial thrombi in children with cancer and indwelling catheters.
Korones DN, Buzzard CJ, Asselin BL, Harris JP
J Pediatr 1996 Jun;128(6):841-6. doi: 10.1016/s0022-3476(96)70338-4. PMID: 8648545

Recent systematic reviews

Catheter-related right atrial thrombus and pulmonary embolism: a case report and systematic review of the literature.
Burns KE, McLaren A
Can Respir J 2009 Sep-Oct;16(5):163-5. doi: 10.1155/2009/751507. PMID: 19851535Free PMC Article

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