Surgical Thrombectomy in an 81-Year-Old Patient with Right Atrial Thrombus and Pulmonary Embolism

Abstract

Introduction: Right atrial thrombus carries a potential risk for pulmonary embolism; 3%-23% of patients with acute pulmonary embolism have mobile thrombus, and treatment should be started immediately once a diagnosis is made. In patients with acute pulmonary embolism, medical and surgical methods of treatment can be applied.

Case Report: In this report, we had an 81-year-old patient who presented with sudden onset of shortness of breath, tachycardia, and tachypnea. Echocardiography showed thrombus in the right atrium and another one in the pulmonary trunk at the site of the bifurcation. The patient underwent surgical thrombectomy, with resolution of symptoms.

Conclusion: In conclusion, acute pulmonary embolism is a lifethreatening medical emergency condition that when diagnosed early intervention is necessary.