Title:Right Atrial Thrombus in a Patient of Rheumatic Heart Disease with Severe
Mitral Regurgitation: A Rare Association
Volume: 21
Issue: 3
Author(s): Amit K. Rohila*, Saurabh Kumar, Satyendra Khichar, Durga S. Meena and Sonu K. Pandit
Affiliation:
- Department of Internal Medicine, All India Institute of Medical Sciences Jodhpur,India
Keywords:
Right atrial thrombus, rheumatic heart disease, congestive heart failure, mitral regurgitation, atrial fibrillation, pulmonary embolism.
Abstract: Background: Right atrial thrombus is a rare phenomenon, and its incidence is not well-
defined. It usually occurs in the presence of predisposing factors like tricuspid stenosis or following
central venous catheterization. Isolated right atrial thrombus without any predisposing factors
occurs rarely.
Case Presentation: We herein report a 30-year-old male patient, a known case of rheumatic heart
disease with mitral regurgitation, presented with severe breathlessness and orthopnea. He was diagnosed
with acute pulmonary oedema with biventricular dysfunction and congestive symptoms. On
transthoracic 2D echocardiography, he was found to have severe mitral and severe tricuspid regurgitation.
All cardiac chambers were dilated, and an incidental finding of right atrial thrombus was
noted. Patient The patient was managed conservatively, but he succumbed to his worsening heart
failure.
Conclusion: Treating physicians should be aware of the possibility of right atrial thrombus in rheumatic
mitral valve disease because of its clinical implications, like life life-threatening pulmonary
embolization and need of surgical management.