Clinical Communications: Adult|Articles in Press


Published:February 28, 2023DOI:



      Biatrial thrombus is a rare condition that is typically associated with a patent foramen ovale (PFO).

      Case Report

      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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