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Case Reports
. 2020 Nov 12:7:579522.
doi: 10.3389/fcvm.2020.579522. eCollection 2020.

Right Atrial Thrombus in a COVID-19 Child Treated Through Cardiac Surgery

Hamid Bigdelian  1 , Mohsen Sedighi  2 , Mohammad Reza Sabri  1 , Bahar Dehghan  1 , Zahra Pourmoghaddas  3 , Rana Saleh  3 , Alireza Sherafat  4 , Gholamreza Massoumi  1 , Mohammad Kazem Rezaei  1 , Masoud Shahbazi  1
Affiliations
Case Reports

Right Atrial Thrombus in a COVID-19 Child Treated Through Cardiac Surgery

Hamid Bigdelian et al. Front Cardiovasc Med. .

Abstract

We herein report a case of large intracardiac thrombus in a child with SARS-CoV-2 infection (COVID-19). The diagnosis of COVID-19 was confirmed through HRCT and RT-PCR. Transthoracic echocardiography revealed a large thrombus in the right atrium treated successfully via cardiac surgery. The underlying mechanisms of this thrombus in the COVID-19 infection may be attributed to the hypercoagulation and inflammatory condition incurred by the COVID-19 virus.

Keywords: COVID-19; cardiac surgery; fever; pediatric; thrombus—echocardiography.

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Figures

Figure 1
Figure 1
High-resolution computed tomography (HRCT) of the lungs in COVID-19 child showing bilateral multiple patchy areas of ground glass opacities.
Figure 2
Figure 2
Transthoracic echocardiogram showing a large 2.5 × 1.5 cm mass on tricuspid valve leaflet protruded to the right atrium and right ventricle.
Figure 3
Figure 3
Formation of a large thrombus around the CVC that was removed along with catheter via open heart surgery.
See this image and copyright information in PMC

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