Atrial thrombosis: Not only left, think also about right!
Anna DegiovanniClaudia CarassiaSimona De VecchiRiccardo ErbettaGiuseppe PattiPublished in: Journal of clinical ultrasound : JCU (2022)
Atrial fibrillation (AF) is the most common arrhythmia in the general population. Systemic thromboembolism from left atrial appendage (LAA) thrombosis is a well-known complication of AF, whereas thromboembolic complications from a right atrial (RA) thrombus are infrequent. Nevertheless, the prevalence of RA thrombosis is debated; despite having a low prevalence in echocardiographic studies, the higher prevalence found in autoptic studies rises the hypothesis of an under detection of RA clots, possibly related to the limited evaluation of right atrial appendage (RAA) with non-invasive imaging. Here we present a review of the current literature about RA thrombosis, regarding its diagnosis, differentials, and best treatment options.
Keyphrases
- atrial fibrillation
- left atrial appendage
- catheter ablation
- left atrial
- pulmonary embolism
- rheumatoid arthritis
- risk factors
- oral anticoagulants
- disease activity
- direct oral anticoagulants
- heart failure
- percutaneous coronary intervention
- ankylosing spondylitis
- high resolution
- left ventricular
- systemic lupus erythematosus
- case control
- ejection fraction
- pulmonary hypertension
- drug induced
- photodynamic therapy
- coronary artery disease
- loop mediated isothermal amplification
- real time pcr