Published in:
05-01-2023 | Thrombectomy | Images in Cardiovascular Intervention
Thrombectomy of right atrial thrombus for an elderly patient
Published in: Cardiovascular Intervention and Therapeutics | Issue 2/2023
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An 89-year-old female, with a hypertension, dyslipidemia, atrial fibrillation, and traumatic subdural hematoma, was admitted to our hospital for worsening of shortness of breath. Computed tomography scan showed pulmonary embolism (PE) and a heterogeneous appearance in the right atrium (RA). Transthoracic echocardiogram (TTE) revealed huge thrombus was going back and forth between RA and right ventricle (RV) (Fig. 1). She was diagnosed with PE and free-floating RA thrombus. After discussion with our heart team, she was deemed to be too high risk to receive open embolectomy. Therefore, thrombectomy using AngioVac (AngioDynamics, Queensbury, New York, USA), was performed.
Fig. 1
Images of thrombus. A large thrombus (blue arrow) was confirmed by computed tomography scan (A). Echocardiogram showed the thrombus was going back and forth between RA and RV (yellow arrows) (B). The AngioVac was inserted to RA (C). The thrombus was completely removed after procedure (D, E). Thrombotic materials removed by thrombectomy (F). LA left atrium, LV left ventricular, RA right atrium, RV right ventricular
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