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Right Atrial Thrombus Complicating LVAD Candidacy: A Clinical Case Study
Cetin Alak1, Aarti Desai1, Abdallah El-Sabbagh2
1Division of Heart Failure and Transplantation, Mayo Clinic, Jacksonville, FL 32224, USA.
Journal of Clinical Medicine
|September 13, 2025
Summary
Percutaneous thrombectomy effectively removed a right atrial thrombus in a high-risk patient awaiting a left ventricular assist device (LVAD). This less invasive procedure reduced embolism risk and facilitated safe LVAD implantation.
Area of Science:
- Cardiology
- Interventional Cardiology
- Cardiovascular Surgery
Background:
- Right atrial thrombus (RAT) is rare but associated with high mortality and embolism risk.
- RAT complicates management in left ventricular assist device (LVAD) candidates due to high surgical risks.
- Percutaneous thrombectomy presents a less invasive alternative to surgery for RAT removal.
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