Journal of Investigative Medicine High Impact Case Reports (Sep 2018)

Embolizing Massive Right Atrial Thrombus in a HIV-Infected Patient

  • Piruthiviraj Natarajan MD,
  • Fowrooz Joolhar MD,
  • Sudhagar Thangarasu MD,
  • Ayham Aboeed MD,
  • Theingi Tiffany Win MD,
  • Everardo Cobos MD

DOI
https://doi.org/10.1177/2324709618802871
Journal volume & issue
Vol. 6

Abstract

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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.