Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2024 Sep 4;29(17):102502.
doi: 10.1016/j.jaccas.2024.102502.

Aspiration of Right Atrial Tumor Metastasis

Melhem Ghaleb  1 , Pouria Koushesh  1 , Udit Bhatnagar  2 , Abdul A Khan  2 , Minnsun Park  2 , Rizwan Sardar  2
Affiliations
Case Reports

Aspiration of Right Atrial Tumor Metastasis

Melhem Ghaleb et al. JACC Case Rep. .

Abstract

A 72-year-old man with cirrhosis had undiagnosed hepatocellular carcinoma with distant metastasis occupying nearly the entire right atrium. He was a poor surgical candidate because of his bleeding risks and advanced liver cirrhosis. He successfully underwent urgent large-bore aspiration thrombectomy under simultaneous echocardiography and fluoroscopy, thus leading to a diagnosis of metastatic malignant disease.

Keywords: FlowTriever; Inari; intracardiac; large-bore aspiration thrombectomy; mechanical thrombectomy; right atrium; tumor thrombus.

PubMed Disclaimer

Conflict of interest statement

Drs Ghaleb and Sardar have served as consultants for Inari Medical. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose.

Figures

None
Graphical abstract
Figure 1
Figure 1
Coronal Computed Tomography Angiography The image demonstrates a right atrial filling 6.6 cm × 5.9 cm × 4.2 cm defect (green arrow) without extension into the pulmonary artery.
Figure 2
Figure 2
Pretreatment Transesophageal Echocardiography The image shows the large, 6.6 cm × 5.9 cm × 4.2 cm solid, nonmobile mass with circumferential color Doppler flow.
Figure 3
Figure 3
Samples of the Extracted Right Atrial Mass
Figure 4
Figure 4
Postprocedural Transesophageal Echocardiography The image shows a marked decrease (∼90%) in the original right atrial mass size.
See this image and copyright information in PMC

References

    1. Tu T., Toma C., Tapson V.F., et al. A prospective, single-arm, multicenter trial of catheter-directed mechanical thrombectomy for intermediate-risk acute pulmonary embolism: the FLARE study. JACC Cardiovasc Interv. 2019;12(9):859–869. doi: 10.1016/j.jcin.2018.12.022. - DOI - PubMed
    1. Lichtenberg M.K.W., Stahlhoff S., Młyńczak K., et al. Endovascular mechanical thrombectomy versus thrombolysis in patients with iliofemoral deep vein thrombosis - a systematic review and meta-analysis. Vasa. 2021;50(1):59–67. doi: 10.1024/0301-1526/a0008753. - DOI - PubMed
    1. Milioglou I., Farmakis I., Wazirali M., et al. Percutaneous thrombectomy in patients with intermediate- and high-risk pulmonary embolism and contraindications to thrombolytics: a systematic review and meta-analysis. J Thromb Thrombolysis. 2023;55(2):228–242. doi: 10.1007/s11239-022-02750-1. - DOI - PMC - PubMed
    1. Gayed A., Stringfellow S., Yamada R., Johnson T., Wright-Void C., Hannegan C. Percutaneous large bore aspiration thrombectomy of tumor embolism causing massive pulmonary embolism. JACC Case Rep. 2022;4(6):359–363. doi: 10.1016/j.jaccas.2022.01.008. - DOI - PMC - PubMed
    1. Pallister Z.S., Montero-Baker M., Mills J.L., Chung J. Percutaneous suction thrombectomy of large tumor thrombus causing massive pulmonary embolism. J Vasc Surg Cases Innov Tech. 2018;4(3):244–247. doi: 10.1016/j.jvscit.2018.05.003. - DOI - PMC - PubMed

Publication types

LinkOut - more resources