Case Report
 
Free floating right atrial thrombus leading to occlusion of the tricuspid valve in a patient with cirrhosis
Turgut Karabag1, Sait Mesut Dogan1, Muhammet Rasit Sayin1, Cem Çil2, Mustafa Aydin1
1Zonguldak Karaelmas University, School of Medicine, Department of Cardiology, Zonguldak/Turkey.

doi:10.5348/ijcri-2012-10-200-CR-13

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Turgut Karabag
Karaelmas Universitesi Tip Fakultesi
Kardiyoloji Bolumu
67600-Kozlu-Zonguldak
Turkey
Phone: +90 372 2571517
Fax: +90 372 2577395
Email: turgutkarabag@yahoo.com

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How to cite this article:
Karabag T, Dogan SM, Sayin MR, Çil C, Aydin M. Free floating right atrial thrombus leading to occlusion of the tricuspid valve in a patient with cirrhosis. International Journal of Case Reports and Images 2012;3(10):51–53.


Abstract
Introduction: Right atrial thrombi are rare conditions in structurally normal hearts, except for special conditions such as hypercoagulable states, malignant tumors and some systemic diseases.
Case Report: We present a case of giant free-floating atrial thrombus extending from the inferior vena cava into the right atrium and leading to occlusion of the tricuspid valve, in a 55-year-old female patient being followed up for cirrhosis.
Conclusion: Free-floating right heart thrombus is an extremely rare and dangerous phenomennon which can result in highly dangerous complications. Transthoracic echocardiography, being easily accessible and practical, is a valuable tool for rapid diagnosis. Free-floating thrombi, is an extremely dangerous phenomenon that requires immediate diagnosis and treatment. An immediate decision should be made in these patients for whom treatment options include thrombolytic therapy, medical treatment and surgical intervention in appropriate patients.

Key Words: Free-floating thrombus, Tricuspid valve occlusion, Cirrhosis, Hypercoagulable state


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Author Contributions:
Turgut Karabag – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Sait Mesut Dogan – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Muhammet Rasit sayin – Conception and design, Acquisition of data, Analysis and interpretation of data, Final approval of the version to be published
Cem Çil – Conception and design, Acquisition of data, Analysis and interpretation of data, Final approval of the version to be published
Mustafa Aydin – Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission:
The corresponding author is the guarantor of submission.
Source of support:
None
Conflict of interest:
Authors declare no conflict of interest.
Copyright:
© Turgut Karabag et al. 2012; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)