scholarly journals Perioperative Concerns and Management of Patients with Right Atrial Thrombus in Chronic Constrictive Pericarditis Undergoing Pericardiectomy: A Case Series

2019 ◽  
Vol 7 (1) ◽  
pp. 6-11
Author(s):  
Sunder Negi ◽  
Imran Bhat ◽  
Srinath Damodaran ◽  
Krishna P Gourav ◽  
Indranil Biswas ◽  
...  
Keyword(s):  
Constrictive Pericarditis ◽  
Case Series ◽  
Right Atrial ◽  
Atrial Thrombus ◽  
Right Atrial Thrombus

scholarly journals Modification in Surgical Plan following Intraoperative Detection of Co-existent Right Atrial Thrombus by Transesophageal Echocardiography in Chronic Constrictive Pericarditis

2017 ◽  
Vol 5 (1) ◽  
pp. 34-37
Author(s):  
Sachin Mahajan ◽  
Rajarajan Ganesan
Keyword(s):  
Transesophageal Echocardiography ◽  
Constrictive Pericarditis ◽  
Major Change ◽  
Abdominal Distension ◽  
Right Atrial ◽  
Surgical Removal ◽  
Atrial Thrombus ◽  
Presenting Symptoms ◽  
Intraoperative Detection ◽  
Right Atrial Thrombus

ABSTRACT Introduction Chronic constrictive pericarditis (CCP) is common in developing countries, tuberculosis being the most common cause. Dyspnea and congestive symptoms are the most common nonspecific presenting symptoms that require further evaluation for clinching the diagnosis. Coexistent right atrial (RA) thrombus and CCP are rare occurrences. Preoperative detection of RA thrombus is very important to avoid the risk of pulmonary thromboembolism during pericardiectomy or cannulation for establishing cardiopulmonary bypass (CPB). Perioperative echocardiography may play a crucial role in this setting. We report a case of CCP in which preoperative transesophageal echocardiography (TEE) detected RA thrombus that led to change in surgical plan and provided continuous monitoring during surgery. Case Report A 14-year-old male presented with a history of abdominal distension and pedal edema for 5 months. Physical examination revealed raised jugular venous pulse with normal heart sounds and no murmurs. Transthoracic echocardiography (TTE) revealed constrictive physiology and thickened pericardium. After induction of anesthesia, TEE revealed an irregular hyperechoic mass (50 × 36 × 30 mm) in the RA free wall that was not detected on preoperative TTE and computerized tomography (CT). Thickened pericardium all around mandated limited pericardiectomy under TEE guidance to allow bicaval cannulation for establishing CPB. This was followed by surgical removal of the thrombus and remaining pericardiectomy using CPB. His postoperative period was uneventful and the patient was discharged home on postoperative day 7. Conclusion The TEE may be instrumental in diagnosis of coexistent RA thrombus in the case of CCP resulting in major change in surgical plan and providing perioperative monitoring to avert significant morbidity and mortality. How to cite this article Ganesan R, Kumar B, Munirathinam GK, Bhat I, Mahajan S. Modification in Surgical Plan following Intraoperative Detection of Co-existent Right Atrial Thrombus by Transesophageal Echocardiography in Chronic Constrictive Pericarditis. J Perioper Echocardiogr 2017;5(1):34-37.

Right atrial thrombus in constrictive pericarditis

1992 ◽  
Vol 37 (2) ◽  
pp. 256-258 ◽  
Author(s):  
Kim A. Priestley ◽  
John Wallwork ◽  
Peter M. Schofield
Keyword(s):  
Constrictive Pericarditis ◽  
Right Atrial ◽  
Atrial Thrombus ◽  
Right Atrial Thrombus

Constrictive Pericarditis With Right Atrial Thrombus

Circulation ◽  
1996 ◽  
Vol 94 (7) ◽  
pp. 1786-1786 ◽  
Author(s):  
Mitsuru Noma ◽  
Tsuyoshi Itoh
Keyword(s):  
Constrictive Pericarditis ◽  
Right Atrial ◽  
Atrial Thrombus ◽  
Right Atrial Thrombus

scholarly journals Chronic constrictive pericarditis complicated with huge right atrial thrombus in a child with abdominal tuberculosis: a rare life-threatening condition

2019 ◽  
Vol 2019 (11) ◽  
Author(s):  
Rupesh Kumar ◽  
Javid Raja ◽  
Sanjib Rawat ◽  
Ayush Srivastava ◽  
Shyam Kumar Singh Thingnam
Keyword(s):  
Constrictive Pericarditis ◽  
Pulmonary Thromboembolism ◽  
Abdominal Tuberculosis ◽  
Right Atrial ◽  
Surgical Removal ◽  
Atrial Thrombus ◽  
Life Saving ◽  
Threatening Condition ◽  
Life Threatening ◽  
Right Atrial Thrombus

Abstract Chronic constrictive pericarditis (CCP) is the most common pericardial pathology. CCP complicating with intracardiac thrombus is a rare entity, the detection of thrombus preoperatively is life-saving in avoiding the risk of pulmonary thromboembolism during anterior pericardiectomy. Transesophageal echocardiography has been shown to have better sensitivity in detecting atrial thrombus than transthoracic echocardiography. Surgical removal of right atrial thrombus under cardiopulmonary bypass should be considered.

scholarly journals Metastatic renal cell carcinoma complicated by right atrial thrombus

2021 ◽  
Author(s):  
Hafiz Muhammad Abrar Jeelani ◽  
Muhammad Mubbashir Sheikh ◽  
Adeel Riaz ◽  
Nikita Jain ◽  
Nayha Tahir ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Metastatic Renal Cell Carcinoma ◽  
Renal Cell ◽  
Right Atrial ◽  
Atrial Thrombus ◽  
Right Atrial Thrombus

scholarly journals COVID AND THE MASSIVE RIGHT ATRIAL THROMBUS

2021 ◽  
Vol 77 (18) ◽  
pp. 2014
Author(s):  
Shehryar Jumani ◽  
Pavankumar Thota ◽  
Jewelian Baig ◽  
Luis Chozet ◽  
Megan Stevens ◽  
...  
Keyword(s):  
Right Atrial ◽  
Atrial Thrombus ◽  
Right Atrial Thrombus

scholarly journals PERCUTANEOUS ENDOVASCULAR THROMBECTOMY AND PULMONARY ENDARTERECTOMY FOR A LARGE RIGHT ATRIAL THROMBUS AND CTEPH - A CASE REPORT

2021 ◽  
Vol 77 (18) ◽  
pp. 2799
Author(s):  
April Graham ◽  
Jelani Grant ◽  
Dana Gross ◽  
Efren Buitrago ◽  
Alfredo Rego ◽  
...  
Keyword(s):  
Case Report ◽  
Right Atrial ◽  
Pulmonary Endarterectomy ◽  
Atrial Thrombus ◽  
Endovascular Thrombectomy ◽  
Right Atrial Thrombus

scholarly journals A rare case of Tetralogy of Fallot with right atrial thrombus presenting with hemiplegia complicating the clinical course

2021 ◽  
Author(s):  
Parag Sharma ◽  
Satyajit Samal ◽  
Debmalya Saha ◽  
Sayyed E. H. Naqvi ◽  
Saket Aggarwal ◽  
...  
Keyword(s):  
Tetralogy Of Fallot ◽  
Rare Case ◽  
Clinical Course ◽  
Right Atrial ◽  
Atrial Thrombus ◽  
Right Atrial Thrombus

scholarly journals Cardiac arrest in a patient with a mobile right atrial thrombus in transit and amyloidosis

2007 ◽  
Author(s):  
A DALOIA ◽  
E VIZZARDI ◽  
E CHIARI ◽  
P FAGGIANO ◽  
A SQUERI ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Right Atrial ◽  
Atrial Thrombus ◽  
Right Atrial Thrombus ◽  
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