Key result
Giant free-floating RA thrombus from the IVC occludes the tricuspid valve in a cirrhotic patient.
Case Report (n=1)
Highlights the rare occurrence of a free-floating right atrial thrombus causing tricuspid valve occlusion in a patient with cirrhosis, emphasizing the diagnostic value of transthoracic echocardiography.
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Raises awareness for thromboembolic events in cirrhosis; single case leaves open optimal diagnostic and management strategies.
Introduction: Right atrial thrombi are rare conditions in structurally normal hearts, except for special conditions such as hypercoagulable states, malignant tumors and some systemic diseases. Case Report: We present a case of giant freefloating atrial thrombus extending from the inferior vena cava into the right atrium and leading to occlusion of the tricuspid valve, in a 55yearold female patient being followed up for cirrhosis. Conclusion: Freefloating right heart thrombus is an extremely rare and dangerous phenomennon which can result in highly dangerous complications. Transthoracic echocardiography, being easily accessible and practical, is a valuable tool for rapid diagnosis. Freefloating thrombi, is an extremely dangerous phenomenon that requires immediate diagnosis and treatment. An immediate decision should be made in these patients for whom treatment options include thrombolytic therapy, medical treatment and surgical intervention in appropriate patients.
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Karabağ et al. (2012) conducted a case report in Free-floating right atrial thrombus and cirrhosis (n=1). Free-floating right atrial thrombus was evaluated on Occlusion of the tricuspid valve. A giant free-floating right atrial thrombus extending from the inferior vena cava led to tricuspid valve occlusion in a 55-year-old female with cirrhosis, diagnosed via transthoracic echocardiography.
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