Related Experiment Video
Updated: May 8, 2026
07:41
Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
3.5K
Trilogy of Fallot With a Large Right Atrial Thrombus: A Case Report
Ramachandra Barik1, Debasis Acharya1, Pranjit Deb1
1Cardiology, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND.
Cureus
|March 24, 2025
Summary
Trilogy of Fallot, a rare congenital heart defect, can cause serious complications like blood clots. This case highlights successful treatment of a patient with this condition and a large atrial thrombus.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Thrombosis
Background:
- Trilogy of Fallot is a rare congenital heart condition characterized by pulmonary stenosis, right-to-left interatrial shunt, and right ventricular hypertrophy.
- Potential complications include thrombus formation due to chronic hypoxia, erythrocytosis, and hyperviscosity, as well as paradoxical embolisms.
Observation:
- A young male patient presented with cyanosis, right heart failure, and a history of transient ischemic attacks.
- Diagnostic evaluation revealed Trilogy of Fallot with a significant right atrial thrombus.
Findings:
- The patient's condition improved significantly after treatment.
- Treatment involved low molecular weight heparin and subsequent balloon pulmonary valvotomy.
Implications:
- This case underscores the importance of recognizing and managing complex congenital heart diseases like Trilogy of Fallot.
- Effective anticoagulation and interventional procedures can lead to favorable outcomes in patients with associated thrombus formation.
More Related Videos
Related Concept Videos
01:21Cardiac Catheterization II: Right Heart Catheterization
Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
01:25Mitral Regurgitation III: Medical Management
Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...
01:22Mitral Stenosis I: Introduction
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
01:23Mitral Stenosis II: Clinical features and Diagnostic Tests
Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
01:26Mitral Stenosis III: Medical Management
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
01:25Aortic Regurgitation III: Medical Management
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...