Surgical Thrombectomy for a Free-floating Right Atrial Thrombus in a Pregnant Thrombophilia Patient: A Case Report

Case Report

Volume 5, Issue 3

Surgical Thrombectomy for a Free-floating Right Atrial Thrombus in a Pregnant Thrombophilia Patient: A Case Report

Robert Kashapov^*, Kristina Efimova-Siakina, Alexander Bogachev-Prokophiev and Alexander Chernyavsky

E. Meshalkin National Medical Research Center, Novosibirsk, Russian Federation

^*Corresponding author: Robert Kashapov, MD, E. Meshalkin National Medical Research Center, Novosibirsk, Russian Federation.
E-mail: dr.cvs.kashapov@gmail.com

Received: July 02, 2025; Accepted: July 18, 2025; Published: August 05, 2025

Citation: Kashapov R, Efimova-Siakina K, Bogachev-Prokophiev A, Chernyavsky A. Surgical Thrombectomy for a Free-floating Right Atrial Thrombus in a Pregnant Thrombophilia Patient: A Case Report. Case Rep Clin Cardiol J. 2025; 5(3): 158.

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Surgical Thrombectomy for a Free-floating Right Atrial Thrombus in a Pregnant Thrombophilia Patient: A Case Report

Abstract

Introduction: A 25-year-old woman at 28 weeks of gestation was admitted with a free-floating thrombus in the right atrium. The patient had a history of surgical intervention for chronic pulmonary embolism, which - along with her thrombophilia - posed a high risk of recurrent thromboembolism.
Materials and Methods: Endovascular thrombus extraction was selected as the most favourable treatment approach. The postoperative course was uneventful, and the patient was discharged in good clinical condition.
Conclusion and Result: The presented clinical case of successful endovascular thrombectomy may be considered for managing right-sided cardiac thrombosis in pregnant patients.

Keywords: Pregnant woman; Pulmonary embolism; Thrombophilia

Article Details

Surgical Thrombectomy for a Free-floating Right Atrial Thrombus in a Pregnant Thrombophilia Patient: A Case Report