# Two Cases of Right Atrial Thrombus in Transit: Evaluation, Echocardiography, and Management

**Authors:** Kayla M Knuf, Joseph Mellen, Theodor Danciu, Matthew Smith

PMC · DOI: 10.7759/cureus.93496 · Cureus · 2025-09-29

## TL;DR

This paper discusses two cases of right atrial thrombus and how they were managed using catheter-based interventions.

## Contribution

The paper presents two unique clinical cases and their management strategies using catheter-directed thrombectomy.

## Key findings

- Catheter-based intervention was effective in managing right atrial thrombus in critically ill patients.
- Echocardiographic imaging played a key role in evaluating and guiding treatment decisions.
- The cases highlight the importance of individualized treatment based on patient condition and thrombus characteristics.

## Abstract

Intracardiac thrombus can present across a broad clinical spectrum, from incidental findings to life-threatening cardiogenic shock. Management is determined by both the patient’s condition and the thrombus characteristics. Catheter-directed thrombectomy has emerged as a viable treatment option for selected patients. We present two cases of right atrial thrombus managed with catheter-based intervention, accompanied by a detailed discussion of the clinical evaluation, echocardiographic imaging, and management strategies in critically ill patients.

## Linked entities

- **Diseases:** cardiogenic shock (MONDO:0800175)

## Full-text entities

- **Diseases:** cardiogenic shock (MESH:D012770), critically ill (MESH:D016638), Atrial Thrombus (MESH:D013927)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12571057/full.md

## References

12 references — full list in the complete paper: https://tomesphere.com/paper/PMC12571057/full.md

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Source: https://tomesphere.com/paper/PMC12571057