Two Cases of Right Atrial Thrombus in Transit: Evaluation, Echocardiography, and Management

Intracardiac thrombus can present across a broad clinical spectrum, from incidental findings to life-threatening cardiogenic shock. Management is determined by both the patient's condition and the thrombus characteristics. Catheter-directed thrombectomy has emerged as a viable treatment option for selected patients. We present two cases of right atrial thrombus managed with catheter-based intervention, accompanied by a detailed discussion of the clinical evaluation, echocardiographic imaging, and management strategies in critically ill patients.

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Publication Details

Journal
Cureus
Published
2025-09-29
DOI
https://doi.org/10.7759/cureus.93496
Primary Topic
Atrial Fibrillation Management and Outcomes
Type
article
Field-Weighted Citation Impact
0.00

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article

Two Cases of Right Atrial Thrombus in Transit: Evaluation, Echocardiography, and Management

Jonathan Mellen, Kayla M. Knuf, Theodora Danciu, Matthew Smith
Cureus
Atrial Fibrillation Management and Outcomes
article

Two Cases of Right Atrial Thrombus in Transit: Evaluation, Echocardiography, and Management

Jonathan Mellen, Kayla M. Knuf, Theodora Danciu, Matthew Smith
article en

Abstract

Intracardiac thrombus can present across a broad clinical spectrum, from incidental findings to life-threatening cardiogenic shock. Management is determined by both the patient's condition and the thrombus characteristics. Catheter-directed thrombectomy has emerged as a viable treatment option for selected patients. We present two cases of right atrial thrombus managed with catheter-based intervention, accompanied by a detailed discussion of the clinical evaluation, echocardiographic imaging, and management strategies in critically ill patients.

CureusVol. 17(9)
Uniformed Services University of the Health Sciences (US), Wilford Hall Ambulatory Surgical Center (US)
U.S. Department of Defense, Defense Health Agency
Openalex Percentile: Top 59%
Atrial Fibrillation Management and Outcomes
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Two Cases of Right Atrial Thrombus in Transit: Evaluation, Echocardiography, and Management — Jonathan Mellen, Kayla M. Knuf, et al. · Cureus (2025) | TGRS Research Map | TGRS