Cardiac thrombi in a patient with protein-C and S deficiencies: a case report

Calcified right atrial thrombus in HIV infected patient

“…Although there is no clear consensus of the preferred treatment option, recommended treatment options include surgery, thrombolysis and anticoagulation [8]. Nevertheless, any decision should be individualised taking into consideration the extent, size, shape, and mobility of the thrombus as well as pre-existing pulmonary embolism/deep vein thrombosis, and cardiopulmonary reserve [8].…”

“…Nevertheless, any decision should be individualised taking into consideration the extent, size, shape, and mobility of the thrombus as well as pre-existing pulmonary embolism/deep vein thrombosis, and cardiopulmonary reserve [8]. Surgery was an option in in our patient because of the big size of the thrombus, its mobility and polypoid appearance.…”

Calcified Right Atrial Thrombus With Near-Systemic Pulmonary Pressures in a Morbidly Obese Patient: A Clinical Conundrum

“…Various treatment options have been proposed in the management of a right atrial thrombus, including watchful waiting, anticoagulation, thrombolysis, minimally invasive techniques, and open surgery [19]. However, treatment remains controversial as there is no clear consensus on the optimal option, especially in the case of a calcified right atrial thrombus given the rarity of the condition, and no definitive evidence comparing the efficacy of anticoagulation versus surgical resection.…”

“…However, treatment remains controversial as there is no clear consensus on the optimal option, especially in the case of a calcified right atrial thrombus given the rarity of the condition, and no definitive evidence comparing the efficacy of anticoagulation versus surgical resection. Some authors and expert opinions suggest a decision on whether to treat and the mode of treatment should be individualised taking into consideration the extent, size, shape, and mobility of the thrombus as well as pre-existing PE or DVT, cardiopulmonary reserve, and, of course, the patient's preferences [3,19].…”