Embolizing Massive Right Atrial Thrombus in a HIV-Infected Patient. (September 2018)

• Record Type: Journal Article
• Authors: Natarajan, Piruthiviraj; Joolhar, Fowrooz; Thangarasu, Sudhagar; Aboeed, Ayham; Win, Theingi Tiffany; Cobos, Everardo
• Is Part Of: Journal of investigative medicine high impact case reports. Volume 6(2018)
• Publication Date: 2018-09
• Subjects: HIV -- right atrial thrombus -- embolization -- patent foramen ovale -- thromboembolism -- pulmonary embolus; Internal medicine -- Periodicals; Medical care -- Periodicals; 616.005
• DOI: 10.1177/2324709618802871
• Languages: English
• ISSNs: 2324-7096

Abstract

The risk of thromboembolism is increased when associated with the human immunodeficiency viral (HIV) infection. Various factors are involved in promoting thrombosis, and the presence of a patent foramen ovale augments the potential for a paradoxical embolism. We describe the case of a 56-year-old man receiving antiretroviral therapy with features of right heart failure and pulmonary embolism. Due to the high incidence of life-threatening thromboembolism in the HIV-infected group, the need for long-term anticoagulation has to be evaluated.