Biatrial thrombus is a rare condition that is typically associated with a patent foramen ovale (PFO).
This is a case of a 75-year-old man with history of heavy alcohol use found down with altered sensorium. He was hypothermic and in atrial fibrillation with rapid ventricular rate and was subsequently found to have a biatrial thrombus with no evidence of PFO. Why Should an Emergency Medicine Physician Be Aware of This? Biatrial thrombus presents the unique danger of progressing to both pulmonary embolus and acute embolic disease (including stroke); both are life-threatening diagnoses that can be prevented by means of identifying and treating this rare and dangerous condition.
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- Biatrial thrombus across a patent foramen ovale with fatal pulmonary and coronary embolism.J Echocardiogr. 2012; 10: 77-78
- Successful treatment of a patient with pulmonary embolism and biatrial thrombus.Anadolu Kardiyol Derg. 2013; 13: 199
- A thrombus on a journey: a massive thrombus in transit with cerebral, coronary, and pulmonary embolization.Can J Cardiol. 2021; 37: 1281-1282
- Case of biatrial thrombosis.Echocardiography. 1998; 15: 587-590
- Large biatrial thrombembolus caught in transit across a patent foramen ovale.Thorac Cardiovasc Surg Rep. 2015; 4: 44-45
- Communicating massive biatrial thrombus.Intern Med J. 2003; 33: 471-472
- A case of extensive biatrial clot straddling the patent foramen ovale.Monaldi Arch Chest Dis. 2021; 91
- A large biatrial thrombus entrapped by patent foramen ovale in a case with massive pulmonary embolism.Turk Gogus Kalp Damar Cerrahisi Derg. 2018; 26: 150-152
- Extensive biatrial thrombus straddling the patent foramen ovale and traversing into the left and right ventricle.BMJ Case Rep. 2016; 2016https://doi.org/10.1136/BCR-2016-216761
- Relation of thrombus in the left atrial appendage by transesophageal echocardiography to clinical risk factors for thrombus formation.Am J Cardiol. 1994; 74: 391-393
- Clinical and echocardiographic characteristics of patients with left atrial thrombus and sinus rhythm experience in 20 643 consecutive transesophageal echocardiographic examinations.Circulation. 2002; 105: 27-31
- Free-floating biatrial thrombi with concomitant saddle pulmonary embolism.Int J Cardiol. 2010; 144: e11-e13https://doi.org/10.1016/j.ijcard.2008.12.035
- Paradoxical embolism.J Am Coll Cardiol. 2014; 64: 403-415
- Case report: a rare case of biatrial thrombus in the absence of interatrial shunt.Clin Med Rev Case Rep. 2021; 8: 356https://doi.org/10.23937/2378-3656/1410356
- Fatal biatrial thrombus in a patient with idiopathic restrictive cardiomyopathy during sinus rhythm.Int J Cardiol. 2007; 117: e68-e70https://doi.org/10.1016/j.ijcard.2006.11.141
- Impending paradoxical embolism: systematic review of prognostic factors and treatment.Chest. 2010; 137: 164-170
- Systematic review of treatment for trapped thrombus in patent foramen ovale.Korean Circ J. 2017; 47: 776
- Thrombus in transit through patent foramen ovale.Case Rep Cardiol. 2013; 2013: 1-4
- Left atrial ball thrombus: review of clinical and echocardiographic manifestations with suggestions for management.Am Heart J. 1991; 121: 1784-1790
Published online: February 28, 2023
Accepted: February 17, 2023
Received in revised form: January 12, 2023
Received: September 13, 2022
Publication stageIn Press Uncorrected Proof
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