[Asymptomatic Ball Thrombus in Right Atrium Under Anticoagulant Therapy:Report of a Case]

Tomoyuki Fujita1, Hiroshi Amano

  • 1Department of Cardiovascular Surgery, Takase Memorial Hospital, Takasaki, Japan.

Insights

An 81-year-old man on warfarin for atrial fibrillation developed a rare right atrial thrombus. Surgical removal was successful, preventing a potentially fatal embolism.

Area of Science:

  • Cardiology
  • Vascular Surgery

Background:

  • Atrial fibrillation (AF) is a common arrhythmia often managed with anticoagulation.
  • Oral warfarin is a standard anticoagulant therapy for AF to prevent thromboembolic events.

Observation:

  • An 81-year-old male patient on warfarin for AF presented for routine preoperative screening.
  • Echocardiography unexpectedly revealed a mobile mass, identified as a right atrial thrombus.

Findings:

  • The patient underwent emergency surgical resection of the right atrial thrombus.
  • Postoperative imaging confirmed complete removal of the thrombus with no residual mass.

Implications:

  • This case highlights the rare occurrence of atrial thrombus formation despite adequate anticoagulation.
  • Surgical intervention is a viable and indicated treatment for mobile right atrial thrombi due to embolism risk.