Migratory Massive Venous Thrombi in the Right Atrium without Pulmonary Thromboembolism: A Rare Case Presentation

Abstract

 Right heart thrombi (RHT) in transit are a serious condition that usually represent a clot dislodged from deep venous thrombosis that has mobilized and become lodged in the right heart en route to the pulmonary arteries (PAs), with the potential to migrate and lead to additional embolic complications. RHT are often found in the setting of severe bilateral pulmonary embolisms (PEs).¹ Patients with RHT in transit often have higher heart rate ,lower blood pressure and exhibit more right ventricular dysfunction compared with patients who present with PE without RHT in transit. Despite intravenous thrombolysis and inotropic support, the patients developed cardiopulmonary collapse and death.our presenting case we treated the patient with LMWH followed by oral anticoagulant warfarin overlape with target INR2.5-3 . and patient discharged from MB hospital after 2 week.

Keyword- thrombus, right atrium, pulmonary thromboembolism