Case Study of Biatrial Thrombus: Found Down With Atrial Fibrillation
Riverside Community Hospital
atrial fibrillation, atrial thrombus, biatrial thrombus, deep vein thrombosis; thromboembolic disease, thromboembolism, venous thromboembolism
Cardiovascular Diseases | Emergency Medicine
BACKGROUND: 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 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.
Publisher or Conference
The Journal of Emergency Medicine
Jenkins CN, Badri NW, Blasko BJ. Case Study of Biatrial Thrombus: Found Down With Atrial Fibrillation. J Emerg Med. 2023;S0736-4679(23)00058-6. doi:10.1016/j.jemermed.2023.02.014