{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T15:25:42Z","timestamp":1791127542078,"version":"4.1.0"},"reference-count":8,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,2,19]],"date-time":"2024-02-19T00:00:00Z","timestamp":1708300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,2,19]],"date-time":"2024-02-19T00:00:00Z","timestamp":1708300800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cardiothorac Surg"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Calcified right atrial thrombus is rare and commonly occurs secondary to atrial fibrillation and long-term central venous catheterization which present risk for embolization. Treatment typically involves anticoagulation and antiplatelet therapy but rarely surgical excision can be performed, especially in patients with venous obstruction or concomitant valvular dysfunction.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>We present the case of a 69 year old symptomatic female with a history of atrial fibrillation and long-term venous catheterization found to have a large calcified right atrial thrombus causing inferior vena cava obstruction and severe tricuspid regurgitation. Patient underwent full median sternotomy with ascending arterial cannulation with superior vena cava and femoral venous cannulation. Intraoperatively, extensive right atrial calcified thrombus was found extending into the inferior vena cava and involving the septal portion of the tricuspid valve annulus causing regurgitation. The calcified thrombus was removed which resolved the inferior vena cava obstruction and the tricuspid valve was repaired by transecting septal leaflet chordae, commissuroplasty, and ring annuloplasty. Postoperative course was uncomplicated and pathology confirmed a calcified right atrial thrombus. At 6 month follow up, the patient was asymptomatic with echocardiogram showing no inferior vena cava stenosis and trivial tricuspid regurgitation.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Surgical excision of calcified right atrial thrombus is rare and is often indicated for symptomatic patients with extensive involvement causing venous inflow obstruction or valvular dysfunction. Sufficient preoperative imaging and a multi-disciplinary approach are essential for accurate diagnosis to guide targeted treatment. When the tricuspid valve is involved, repair is preferred over replacement in this patient population given their propensity for calcification and thrombus formation which may result in an increased risk of early bioprosthetic valve degeneration or mechanical valve thrombosis.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13019-024-02571-8","type":"journal-article","created":{"date-parts":[[2024,2,19]],"date-time":"2024-02-19T15:03:02Z","timestamp":1708354982000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Successful tricuspid valve repair and right atrial mass excision for calcified thrombus causing severe tricuspid regurgitation and near-occlusion of inferior vena cava"],"prefix":"10.1186","volume":"19","author":[{"given":"Caroline","family":"Pennacchio","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brad","family":"Rosinski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Grimm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinya","family":"Unai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,2,19]]},"reference":[{"key":"2571_CR1","doi-asserted-by":"publisher","unstructured":"Prudhvi K, Kumar K, Jonnadula J, Janardhanan R. Right atrial thrombosis provoked by central venous catheter: a Case Report. Cureus. 2020;12. https:\/\/doi.org\/10.7759\/cureus.9027.","DOI":"10.7759\/cureus.9027"},{"key":"2571_CR2","doi-asserted-by":"publisher","first-page":"215","DOI":"10.1016\/S0894-7317(99)70138-0","volume":"12","author":"K Spencer","year":"1999","unstructured":"Spencer K, Weinert L, Pentz WH. Calcified right atrial mass in a woman receiving long-term intravenous phosphate therapy. J Am Soc Echocardiogr. 1999;12:215\u20137.","journal-title":"J Am Soc Echocardiogr"},{"issue":"4","key":"2571_CR3","first-page":"189","volume":"2","author":"M Fabi","year":"2011","unstructured":"Fabi M, Gesuete V, Testa G, Balducci A, Picchio FM, Gargiulo G. Calcified Thrombus in right atrium: rare but treatable complication of long-term indwelling central venous catheter. Cardiol Res. 2011;2(4):189.","journal-title":"Cardiol Res"},{"issue":"10","key":"2571_CR4","first-page":"1051","volume":"19","author":"L Branco","year":"2000","unstructured":"Branco L, Serra J, Martins S, Salomao S, Roquette J. Large calcified thrombus in the right heart chambers. Portuguese J Cardiology: Official J Portuguese Soc Cardiol. 2000;19(10):1051\u20134.","journal-title":"Portuguese J Cardiology: Official J Portuguese Soc Cardiol"},{"key":"2571_CR5","doi-asserted-by":"publisher","first-page":"703","DOI":"10.1111\/jocs.14443","volume":"35","author":"S Cisico","year":"2020","unstructured":"Cisico S, Vacirca SR, Basso C, Mangino D. A rare case of a cardiac calcified thrombus originating from right atrium and inferior vena cava. J Card Surg. 2020;35:703\u20135.","journal-title":"J Card Surg"},{"key":"2571_CR6","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1016\/j.ijscr.2020.03.043","volume":"69","author":"JG Brungardt","year":"2020","unstructured":"Brungardt JG, Kasi AK, Kramer JB. Surgical removal of a calcified right atrial Mass related to venous Access Port: a Case Report. Int J Surg Case Rep. 2020;69:44\u20137.","journal-title":"Int J Surg Case Rep"},{"issue":"84","key":"2571_CR7","first-page":"109","volume":"32","author":"C Arslan","year":"2014","unstructured":"Arslan C, Arapi B, Seyahi E, Tel C, T\u00fcz\u00fcn KH. Case report right ventricular thrombus and tricuspid valve dysfunction in a patient with Beh\u00e7et\u2019s syndrome. Clin Exp Rheumatol. 2014;32(84):109\u201311.","journal-title":"Clin Exp Rheumatol"},{"issue":"1","key":"2571_CR8","first-page":"e95169","volume":"17","author":"B Zhang","year":"2020","unstructured":"Zhang B, Tian ZW, Zhang J, Yuan KM, Yu H. Calcified ball Thrombus in the Right Atrium: a Case Report. Iran J Radiol. 2020;17(1):e95169.","journal-title":"Iran J Radiol"}],"container-title":["Journal of Cardiothoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-024-02571-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13019-024-02571-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-024-02571-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,19]],"date-time":"2024-02-19T15:05:54Z","timestamp":1708355154000},"score":1,"resource":{"primary":{"URL":"https:\/\/cardiothoracicsurgery.biomedcentral.com\/articles\/10.1186\/s13019-024-02571-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,19]]},"references-count":8,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["2571"],"URL":"https:\/\/doi.org\/10.1186\/s13019-024-02571-8","relation":{},"ISSN":["1749-8090"],"issn-type":[{"value":"1749-8090","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,19]]},"assertion":[{"value":"24 May 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 January 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 February 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"See consent for participation section.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The patient provided written consent for the publication of this case report.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"100"}}