Sixth Affiliated Hospital of Nantong University - Yancheng Third People's Hospital, China.
Nantong University, China.
J Investig Med High Impact Case Rep. 2023 Jan-Dec;11:23247096231171471. doi: 10.1177/23247096231171471.
Right atrial thrombosis, which occurs alone, is rare in clinical practice. Its incidence and mechanism are unclear, but susceptibility factors are usually present at its occurrence: ischemic heart disease, heart failure, atrial fibrillation, and chronic kidney disease. Complete isolated right atrial thrombosis rarely occurs. We report here a 47-year-old male patient with a right atrial mass on cardiac ultrasound and chest computed tomography (CT) and a history of previous right heart surgery with type 2 diabetes mellitus and atrial fibrillation, complaining of "chest tightness and shortness of breath after activity for half a month." The patient was admitted to the hospital and underwent right atrial mass resection, and the postoperative pathology showed "right atrial thrombus." As right atrial thrombus is very rare and can be a serious threat to life when it occurs in the heart, the prevention and treatment of right atrial thrombus are very important. Based on the analysis of this case, we believe that for patients with special medical history such as "post right heart surgery and atrial fibrillation," we need to be vigilant for atrial thrombosis.
孤立性右心房血栓在临床实践中较为罕见。其发生率和发生机制尚不清楚,但在发生时通常存在易感因素:缺血性心脏病、心力衰竭、心房颤动和慢性肾脏病。完全孤立性右心房血栓很少见。我们在此报告一例 47 岁男性患者,心脏超声和胸部 CT 显示右心房肿块,既往有右心手术史,患有 2 型糖尿病和心房颤动,主诉“活动后半个月出现胸闷和呼吸急促”。患者入院后接受了右心房肿块切除术,术后病理显示“右心房血栓”。由于右心房血栓非常罕见,当它发生在心脏时会对生命造成严重威胁,因此预防和治疗右心房血栓非常重要。基于对该病例的分析,我们认为对于具有“右心手术后和心房颤动”等特殊病史的患者,需要警惕心房血栓。