[Giant Floating Thrombus in the Right Atrium:Report of a Case]

Area of Science:

• Cardiology
• Vascular Surgery
• Diagnostic Imaging

Background:

• Right atrial thrombus with pulmonary thromboembolism is a life-threatening condition.
• Disseminated intravascular coagulation (DIC) complicates thrombotic events.
• Giant floating thrombi pose a significant risk of embolism.

Purpose of the Study:

• To report a case of a giant right atrial thrombus with pulmonary embolism.
• To highlight the successful surgical management of this critical condition.
• To emphasize the importance of prompt intervention in cases of large intracardiac thrombi.

Main Methods:

• A 70-year-old female patient presented with a large right atrial mass.
• Diagnostic imaging included echocardiography and contrast-enhanced computed tomography (CT).
• Emergency surgical resection of the thrombus was performed, followed by anticoagulant therapy.

Main Results:

• Echocardiography revealed a 16x39 mm floating mass in the right atrium.
• CT confirmed thrombi in pulmonary arteries, inferior vena cava, and iliac veins.
• The patient underwent successful surgery and recovered without complications.

Conclusions:

• Surgical resection is an optimal treatment for giant right atrial thrombi with pulmonary embolism, especially with concurrent DIC.
• Prompt diagnosis and intervention are crucial for favorable outcomes.
• This case underscores the efficacy of surgical management in high-risk embolic events.