Key result
Despite treatment with unfractionated heparin and alteplase, the patient with a serpiginous right atrial thrombus and massive pulmonary embolism experienced sudden cardiac arrest and died.
Why the study?
Right atrial thrombus is a life-threatening condition frequently associated with acute pulmonary embolism.
Case Report (n=1)
No
Serpiginous right atrial thrombus with massive pulmonary embolism is a highly lethal condition that can result in sudden cardiac arrest despite aggressive medical therapy with anticoagulation and fibrinolytics.
Serpiginous right atrial thrombus with massive PE may carry high mortality despite heparin and alteplase; hypothesis-generating for optimal strategies in future studies.
The presence of the right atrial thrombus (RAT) is a life-threatening condition often associated with acute pulmonary embolism (PE). This case report details a 63-year-old male patient who presented with a serpiginous RAT and a massive PE. Despite the administration of both anticoagulation and fibrinolytic therapies, the patient unfortunately experienced sudden cardiac arrest and succumbed to the condition.
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Irakoze et al. (2025) conducted a case report in Acute Pulmonary Embolism with Serpiginous Right Atrium Thrombus (n=1). Anticoagulation and fibrinolytic therapies was evaluated on Survival. Despite treatment with unfractionated heparin and alteplase, the patient with a serpiginous right atrial thrombus and massive pulmonary embolism experienced sudden cardiac arrest and died.
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