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Updated: Aug 26, 2025
06:29
Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
Published on: June 11, 2019
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Atrial thrombosis: Not only left, think also about right!
Anna Degiovanni1,2, Claudia Carassia1,2, Simona De Vecchi2
1Department of Translational Medicine, University of Piemonte Orientale, Novara, Italy.
Journal of Clinical Ultrasound : JCU
|October 11, 2022
Summary
Right atrial (RA) thrombosis is uncommon but may be underdiagnosed. This review examines current literature on RA clot diagnosis, differentials, and optimal treatments for atrial fibrillation patients.
Area of Science:
- Cardiology
- Vascular Medicine
- Diagnostic Imaging
Background:
- Atrial fibrillation (AF) is a common arrhythmia.
- Left atrial appendage (LAA) thrombosis is a known complication of AF.
- Right atrial (RA) thrombus complications are infrequent but potentially underdiagnosed.
Purpose of the Study:
- To review current literature on RA thrombosis.
- To discuss diagnostic challenges and differential diagnoses.
- To outline optimal treatment strategies for RA thrombosis.
Main Methods:
- Literature review of studies on RA thrombosis.
- Analysis of diagnostic modalities for RA clot detection.
- Evaluation of treatment outcomes for RA thrombosis.
Main Results:
- Echocardiographic studies suggest low prevalence of RA thrombosis.
- Autoptic studies indicate a potentially higher prevalence, suggesting underdetection.
- Limited evaluation of the right atrial appendage (RAA) may contribute to underdiagnosis.
Conclusions:
- RA thrombosis is likely underdiagnosed, particularly in non-invasive imaging.
- Accurate diagnosis requires careful consideration of imaging limitations.
- Further research is needed to establish optimal diagnostic and treatment protocols for RA thrombosis.
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