Right atrial thrombus arising from the junction of the right atrium and the inferior vena cava

Abstract Background Cardiac tumors are a rare cause of recurrent syncope which are detected on echocardiography, computed tomographic scan, and/or magnetic resonance imaging. We present echocardiographic, anatomic, and histopathologic images of a cardiac tumor arising from the junction of the right...

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Veröffentlicht in:Cardiovascular pathology 2014-09, Vol.23 (5), p.317-318
Hauptverfasser: Verma, Rajanshu, Duncanson, Emily R, Bajpai, Ambareesh, Skeik, Nedaa, Shafi, Salima
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container_end_page 318
container_issue 5
container_start_page 317
container_title Cardiovascular pathology
container_volume 23
creator Verma, Rajanshu
Duncanson, Emily R
Bajpai, Ambareesh
Skeik, Nedaa
Shafi, Salima
description Abstract Background Cardiac tumors are a rare cause of recurrent syncope which are detected on echocardiography, computed tomographic scan, and/or magnetic resonance imaging. We present echocardiographic, anatomic, and histopathologic images of a cardiac tumor arising from the junction of the right atrium and the inferior vena cava in a young lady. Methods Transthoracic echocardiography, transesophageal echocardiography, postmortem examination (autopsy), and histopathology. Results Transesophageal echocardiogram showed a 7×3-cm mobile multilobulated right atrial mass arising from the right atrial wall near the inferior vena cava. The patient was admitted to hospital to undergo cardiac surgery; however, unfortunately, she went in to cardiorespiratory arrest on the eve before surgery. Autopsy showed embolized mass obstructing the main pulmonary trunk, and pathology revealed an old organizing thrombus. Conclusions Cardiac thrombi can mimic appearances of a myxoma on echocardiogram. Delay in thrombus removal surgery can result in increased mortality as seen in our case.
doi_str_mv 10.1016/j.carpath.2014.04.002
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We present echocardiographic, anatomic, and histopathologic images of a cardiac tumor arising from the junction of the right atrium and the inferior vena cava in a young lady. Methods Transthoracic echocardiography, transesophageal echocardiography, postmortem examination (autopsy), and histopathology. Results Transesophageal echocardiogram showed a 7×3-cm mobile multilobulated right atrial mass arising from the right atrial wall near the inferior vena cava. The patient was admitted to hospital to undergo cardiac surgery; however, unfortunately, she went in to cardiorespiratory arrest on the eve before surgery. Autopsy showed embolized mass obstructing the main pulmonary trunk, and pathology revealed an old organizing thrombus. Conclusions Cardiac thrombi can mimic appearances of a myxoma on echocardiogram. 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source MEDLINE; ScienceDirect Freedom Collection (Elsevier)
subjects Adult
Cardiac imaging
Cardiac thrombus
Diagnostic Errors
Echocardiography, Transesophageal
Fatal Outcome
Female
Heart Atria - diagnostic imaging
Heart Neoplasms - diagnostic imaging
Humans
Myxoma - diagnostic imaging
Pathology
Right atrial thrombus
Sudden death
Thrombosis - diagnostic imaging
Transesophageal echocardiography
Vena Cava, Inferior - diagnostic imaging
title Right atrial thrombus arising from the junction of the right atrium and the inferior vena cava
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