Clot in Lung, Clot in Heart: A Case Report of Tumor-Like Thrombus in Right Atrium

Habibi, Roshanak; Altamirano, Alvaro; Dadkhah, Shahriar

doi:10.1177/1179547617698460

Cited by 6 publications

(5 citation statements)

References 7 publications

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“…Invasive cardiac intervention might be a possible cause since Habibi R et al reported a patient with a right atrial pacemaker lead insertion developed a similar right atrial thrombus. [ 11 ] Our patient had not received any invasive cardiac interventions before, but he did have 1 possible risk factor for thrombus formation. It was the medical history of right femoral neck fracture, which might gave rise to deep vein thrombus in lower limbs.…”

Section: Discussionmentioning

confidence: 99%

A rare myxoma-like right atrial thrombus causing syncope

Yang¹,

Gu²

2018

Medicine

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Rationale:Syncope is a complicated clinical condition involving various diseases. Syncope due to myxoma-like right atrial thrombus is rarely seen in patient without structural heart disease.Patient concerns:A 61-year-old ambulant old male visited our emergency department for sudden syncope.Diagnoses:After the exclusion of neurological and coronary diseases, a right atrial block mass with a stalk connected to the atrial septum was accidentally found by echocardiography. Pulmonary embolism was subsequently revealed by computed tomographic pulmonary angiography. Atrial myxoma was initially suspected and surgical removal was conducted. Surprisingly, histological examination showed that the pedicled block mass was actually thrombus.Interventions:The myxoma-like right atrial thrombus and the emboli in the bilateral pulmonary trunks were resected. This patient received anticoagulant treatment with warfarin for 6 months additionally.Outcomes:The patient was successfully discharged and being continually followed.Conclusion:This patient had a past medical history of right femoral neck fracture, which might be responsible for the formation of the myxoma-like right atrial thrombus. We should always consider echocardiography examination in syncope patient at risk of thrombus formation.

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Section: Discussionmentioning

confidence: 99%

A rare myxoma-like right atrial thrombus causing syncope

Yang¹,

Gu²

2018

Medicine

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“…Atrial thrombi are more often located in the left atrium or appendage and are generally accompanied by structural heart disease[ 23 ]. They are usually highly mobile, serpiginous and without the typical myxoma features[ 24 , 25 ] such as the attachment via a stalk and the presence of intramass calcification[ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Incidental right atrial mass in a patient with secondary pancreatic cancer: A case report and review of literature

Fioretti¹,

Leopizzi²,

Forgia³

et al. 2023

World J Clin Cases

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BACKGROUND The incidental detection of a right atrial mass during routine cardioncological workup is a rare condition. The correct differential diagnosis between cancer and thrombi is challenging. A biopsy may not be feasible while diagnostic techniques and tools may not be available. CASE SUMMARY We report the case of a 59-year-old female patient with a history of breast cancer and current secondary metastatic pancreatic cancer. She developed deep vein thrombosis and pulmonary embolism and was admitted to the Outpatient Clinic of our Cardio-Oncology Unit for follow-up. Transthoracic echocardiogram incidentally found a right atrial mass. Clinical management was difficult due to the abrupt worsening of the patient’s clinical condition and the progressive severe thrombocytopenia. We suspected a thrombus, according to its echocardiographic appearance, the patient’s cancer history and recent venous thromboembolism. The patient was unable to adhere to low molecular weight heparin treatment. Due to worsening prognosis, palliative care was recommended. We also highlighted the distinguishing features between thrombi and tumors. We proposed a diagnostic flowchart to aid diagnostic decision making in the case of an incidental atrial mass. CONCLUSION This case report highlights the importance of cardioncological surveillance during anticancer treatments to detect cardiac masses.

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“…After anticoagulation treatment, the right atrial mass was smaller than before, which verified the diagnosis of right atrial thrombosis. A total of 5 cases of myxoma-like right atrial thrombosis in the past 10 years from 2011 to 2021 were screened out through PubMed, including 4 elderly patients and 1 young patient, showing different symptoms such as palpitations, dyspnea and syncope (7)(8)(9)(10)(11). All patients had thromboembolic causes of cardiac thrombosis, including cardiac structural abnormalities, catheter-related thrombosis, pacemaker implantation, and longterm bed rest history.…”

Section: Discussionmentioning

confidence: 99%

Case report: A rare case of recurrent right atrial mass dramatically disappeared after anticoagulation

Wang

Zi²,

Li³

et al. 2022

Front. Cardiovasc. Med.

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A young man repeatedly found a right atrial mass with severe wheezing and extreme dyspnea. His condition was critical and complicated. The process of correct diagnosis was full of twists and turns. Finally, he got better and was discharged from the hospital after anticoagulation therapy, which suggested that correct clinical thinking and decision are particularly important in the process of diagnosis and treatment.

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Clot in Lung, Clot in Heart: A Case Report of Tumor-Like Thrombus in Right Atrium

Cited by 6 publications

References 7 publications

A rare myxoma-like right atrial thrombus causing syncope

A rare myxoma-like right atrial thrombus causing syncope

Incidental right atrial mass in a patient with secondary pancreatic cancer: A case report and review of literature

Case report: A rare case of recurrent right atrial mass dramatically disappeared after anticoagulation

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