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Right Atrial Appendage Thrombus Found in a Patient in Normal Sinus Rhythm with Normal Right Ventricular Systolic Function
Author(s) -
Falcone Adam M.,
Matter Gregory J.,
Schussler Jeffrey M.
Publication year - 2013
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.12057
Subject(s) - medicine , sinus rhythm , thrombus , cardiology , normal sinus rhythm , mitral regurgitation , regurgitation (circulation) , transesophageal echocardiogram , right heart , atrial appendage , atrial fibrillation
A 79‐year‐old woman underwent transesophageal echocardiography to evaluate the severity of her mitral regurgitation prior to urgent bypass. Evaluation of the right‐sided chambers was notable for a mass in the right atrial appendage ( RAA ). Surgical excision and pathologic examination proved this to be a thrombus. This is the first reported case of a RAA thrombus in a patient with normal sinus rhythm and normal right ventricular ( RV ) function. It illustrates that complete transesophageal studies may sometimes demonstrate incidental findings, and that right atrial thrombus can (rarely) be found in patients in sinus rhythm with normal RV function.