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10.5606/tgkdc.dergisi.2011.023
A rare finding during coronary artery bypass surgery: right atrial thrombus
İlker Kiriş, Şenol Gülmen, Ulaş Sağlam, Erkan Kuralay, Ahmet Öcal
Süleyman Demirel Üniversitesi Tıp Fakültesi Kalp ve Damar Cerrahisi Anabilim Dalı, Isparta
DOI : 10.5606/tgkdc.dergisi.2011.023
A 65-years-old male patient was hospitalised with acute
inferior myocardial infarction and sinus bradycardia.
The patient was diagnosed with coronary artery disease
accompanied by severe tricuspid insufficiency. Coronary
artery bypass grafting concomitant with De Vega's tricuspid
annuloplasty operation was performed. During the
operation, a diverticulum shaped mass in the right atrial
appendage was excised. Pathological examination revealed
that the mass was a thrombus. Right atrial thrombus is less
frequently seen than left atrial thrombus. In addition, it
rarely develops in a patient in sinus rhythm. Although right
atrial thrombus is rarely seen, it may cause severe thromboembolic
complications. The possibility of right atrial
thrombus should be kept in mind in the patients undergoing
coronary artery bypass surgery after inferior myocardial
infarction. We think that when right atrial thrombus
is detected during the operation, it should be removed to
avoid possible pulmonary embolism.
Keywords : Coronary artery bypass surgery; right atrial thrombus; transthoracic echocardiography
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