Right atrial thrombus in a patient with stage IV carcinoma of the lung: is the surgical treatment the correct choice?

Thrombus in the right atrium or ventricle is rare and carries a mortality rate of 40%. Death frequently occurs when the thrombus moves toward the pulmonary arteries. Emergent treatment is therefore required. However there is no clear consensus regarding therapeutic management. We present here a patient with right atrial thrombus who underwent surgical exploration of the right atrium and successful thrombectomy.