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Right atrial mural thrombus associated with pericarditis
1Second Department of Surgery, Faculty of Medicine, Kagoshima University, Japan.
The Annals of Thoracic Surgery
|November 1, 1996
Summary
A young man with right heart failure underwent surgery for a right atrial thrombus and pericarditis. Prompt surgical intervention is crucial to prevent potentially fatal pulmonary embolism.
Area of Science:
- Cardiology
- Cardiac Surgery
Background:
- Right heart failure can be a complex condition requiring thorough investigation.
- Atrial thrombus and pericarditis are serious cardiac complications.
Observation:
- A 33-year-old male presented with right heart failure, diagnosed with right atrial mural thrombus and pericarditis via echocardiography, CT, and cardiac catheterization.
- The patient underwent pericardiectomy and thrombectomy with partial right atrial wall resection under extracorporeal circulation.
Findings:
- Right atrial thrombus was attributed to congestion, atrial fibrillation, and pericarditis.
- The etiology of the pericarditis remained undetermined despite pathological and laboratory analyses.
Implications:
- Early surgical treatment for right atrial thrombus is essential to mitigate the risk of pulmonary embolism.
- This case highlights the importance of timely surgical management in complex cardiac conditions involving thrombus and inflammation.