Mobile Right Atrial Thrombi in a Patient with Hemoglobin SC Disease
Author Information
Author(s): H. O. Savage, N. Ding, O. Eso, B. Sachdev, D. L. Lefroy
Primary Institution: Hammersmith Hospital, Imperial College Healthcare NHS Trust
Hypothesis
Sickle cell disease as a hypercoagulable state is a rare risk factor for intracardiac thrombus.
Conclusion
Intravenous thrombolytic therapy offered a safer and more acceptable alternative to surgical removal of the thrombus.
Supporting Evidence
- Spontaneous right atrial thrombus formation is rare in patients without structural right heart disease or atrial fibrillation.
- Mobile right-sided thrombi are associated with a high mortality rate greater than 40%.
- Transthoracic echocardiography is a key noninvasive investigation for diagnosing intracardiac thrombi.
Takeaway
A man with sickle cell disease developed a blood clot in his heart because he wasn't taking his blood thinner medicine. Doctors used a special medicine to dissolve the clot and he got better.
Methodology
The patient was treated with thrombolysis and monitored with transthoracic echocardiography.
Limitations
The case report does not provide a large sample size or controlled study data.
Participant Demographics
A 52-year-old man with hemoglobin SC disease.
Digital Object Identifier (DOI)
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