A1 Refereed original research article in a scientific journal
Asymptomatic Right Atrial Thrombosis After Acute Lymphoblastic Leukemia Treatment
Authors: Kirsten B Jarvis, Nadine G Andersson, Mia Giertz, Liisa Järvelä, Olle Lindinger, Satu Långström, Riitta Niinimäki, Sauli Palmu, Sonata S Trakymiene, Ruta Tuckuviene, Kaisa Vepsäläinen, Susanna Ranta, Tony Frisk
Publisher: Wolters Kluver
Publication year: 2021
Journal:Journal of Pediatric Hematology/Oncology
DOI: https://doi.org/10.1097/MPH.0000000000001848
Right atrial thrombosis is a rare, but potentially serious complication 
of acute lymphoblastic leukemia treatment. We conducted a retrospective 
multicenter study to assess the incidence, treatment, and outcome of 
asymptomatic right atrial thrombosis detected at routine 
echocardiography of children after acute lymphoblastic leukemia 
treatment in the Nordic and Baltic countries. Eleven (2.7%, 95% 
confidence interval, 1.4-4.9) of 406 patients had asymptomatic right 
atrial thrombosis, ranging from 10 to 25 mm at detection. Three patients
 were treated with anticoagulation. None of the thromboses affected 
cardiac function, and they showed neither sign of progress nor 
spontaneous or treatment-related regress at follow-up.