Right Atrial Thrombus in Transient in a COVID-19 Patient: Clinical Echocardiographic Features-Case Report and Literature Review

Cheikh A Abool Maaly; Jassim Al Suwaidi; Mohamad Yahya Khatib; Hakam Alzaeem

doi:10.1007/s42399-020-00568-7

Right Atrial Thrombus in Transient in a COVID-19 Patient: Clinical Echocardiographic Features-Case Report and Literature Review

SN Compr Clin Med. 2020;2(11):2411-2413. doi: 10.1007/s42399-020-00568-7. Epub 2020 Oct 8.

Authors

Cheikh A Abool Maaly¹, Jassim Al Suwaidi^{1

2}, Mohamad Yahya Khatib³, Hakam Alzaeem¹

Affiliations

¹ Department of Cardiology and Cardiovascular Surgery, Hamad Medical Corporation (HMC), P.O Box 3050, Doha, Qatar.
² Qatar and Weill Cornell Medical College, Doha, Qatar.
³ Critical Care and Pulmonary Medicine, HMC, Doha, Qatar.

Abstract

A 54-year-old male is admitted with COVID-19 pneumonia and received prophylactic anticoagulation. On day 8, the patient rapidly deteriorated requiring urgent endotracheal intubation. Transthoracic echocardiography revealed large right atrial thrombus in transient, resulting in pulmonary embolism and severe RV failure; fibrinolytic therapy was not effective and the patient passed away.

Keywords: COVID-19; Pulmonary embolism; Right atrial thrombus; Right heart failure.