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 |
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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. Delay in thrombus removal surgery can result in increased mortality as seen in our case.</description><identifier>ISSN: 1054-8807</identifier><identifier>EISSN: 1879-1336</identifier><identifier>DOI: 10.1016/j.carpath.2014.04.002</identifier><identifier>PMID: 24849550</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>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</subject><ispartof>Cardiovascular pathology, 2014-09, Vol.23 (5), p.317-318</ispartof><rights>Elsevier Inc.</rights><rights>2014 Elsevier Inc.</rights><rights>Copyright © 2014 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c490t-d69740b34407a5cfc48b3cc00e61c9caf9cd4713cdf8ac82632729a65f874c763</citedby><cites>FETCH-LOGICAL-c490t-d69740b34407a5cfc48b3cc00e61c9caf9cd4713cdf8ac82632729a65f874c763</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.carpath.2014.04.002$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24849550$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Verma, Rajanshu</creatorcontrib><creatorcontrib>Duncanson, Emily R</creatorcontrib><creatorcontrib>Bajpai, Ambareesh</creatorcontrib><creatorcontrib>Skeik, Nedaa</creatorcontrib><creatorcontrib>Shafi, Salima</creatorcontrib><title>Right atrial thrombus arising from the junction of the right atrium and the inferior vena cava</title><title>Cardiovascular pathology</title><addtitle>Cardiovasc Pathol</addtitle><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.</description><subject>Adult</subject><subject>Cardiac imaging</subject><subject>Cardiac thrombus</subject><subject>Diagnostic Errors</subject><subject>Echocardiography, Transesophageal</subject><subject>Fatal Outcome</subject><subject>Female</subject><subject>Heart Atria - diagnostic imaging</subject><subject>Heart Neoplasms - diagnostic imaging</subject><subject>Humans</subject><subject>Myxoma - diagnostic imaging</subject><subject>Pathology</subject><subject>Right atrial thrombus</subject><subject>Sudden death</subject><subject>Thrombosis - diagnostic imaging</subject><subject>Transesophageal echocardiography</subject><subject>Vena Cava, Inferior - diagnostic imaging</subject><issn>1054-8807</issn><issn>1879-1336</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUU1v1DAQtRCIfsBPAPnIJcs4dhL7AkJVoUiVkNpyxfJO7K5DYi92slL_fb3dpQcuSCPNh96b0bxHyDsGKwas_Tis0KStmTerGphYQQmoX5BTJjtVMc7bl6WGRlRSQndCznIeAEAKIV6Tk1pIoZoGTsmvG3-_mamZkzcjnTcpTuslU5N89uGeutKXqaXDEnD2MdDonvr0TFsmakL_NPTB2eRjojsbDEWzM2_IK2fGbN8e8zn5-fXy7uKquv7x7fvFl-sKhYK56lvVCVhzIaAzDToUcs0RAWzLUKFxCnvRMY69kwZl3fK6q5VpGyc7gV3Lz8mHw95tin8Wm2c9-Yx2HE2wccmaNY1qWScBCrQ5QDHFnJN1epv8ZNKDZqD30upBH6XVe2k1lIC68N4fTyzryfbPrL9aFsDnA8CWR3feJp3R24C298nirPvo_3vi0z8bcPTBoxl_2webh7ikUFTUTOdag77d-7u3l4liLVeSPwKIcqIk</recordid><startdate>20140901</startdate><enddate>20140901</enddate><creator>Verma, Rajanshu</creator><creator>Duncanson, Emily R</creator><creator>Bajpai, Ambareesh</creator><creator>Skeik, Nedaa</creator><creator>Shafi, Salima</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140901</creationdate><title>Right atrial thrombus arising from the junction of the right atrium and the inferior vena cava</title><author>Verma, Rajanshu ; Duncanson, Emily R ; Bajpai, Ambareesh ; Skeik, Nedaa ; Shafi, Salima</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c490t-d69740b34407a5cfc48b3cc00e61c9caf9cd4713cdf8ac82632729a65f874c763</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Cardiac imaging</topic><topic>Cardiac thrombus</topic><topic>Diagnostic Errors</topic><topic>Echocardiography, Transesophageal</topic><topic>Fatal Outcome</topic><topic>Female</topic><topic>Heart Atria - diagnostic imaging</topic><topic>Heart Neoplasms - diagnostic imaging</topic><topic>Humans</topic><topic>Myxoma - diagnostic imaging</topic><topic>Pathology</topic><topic>Right atrial thrombus</topic><topic>Sudden death</topic><topic>Thrombosis - diagnostic imaging</topic><topic>Transesophageal echocardiography</topic><topic>Vena Cava, Inferior - diagnostic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Verma, Rajanshu</creatorcontrib><creatorcontrib>Duncanson, Emily R</creatorcontrib><creatorcontrib>Bajpai, Ambareesh</creatorcontrib><creatorcontrib>Skeik, Nedaa</creatorcontrib><creatorcontrib>Shafi, Salima</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Cardiovascular pathology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Verma, Rajanshu</au><au>Duncanson, Emily R</au><au>Bajpai, Ambareesh</au><au>Skeik, Nedaa</au><au>Shafi, Salima</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Right atrial thrombus arising from the junction of the right atrium and the inferior vena cava</atitle><jtitle>Cardiovascular pathology</jtitle><addtitle>Cardiovasc Pathol</addtitle><date>2014-09-01</date><risdate>2014</risdate><volume>23</volume><issue>5</issue><spage>317</spage><epage>318</epage><pages>317-318</pages><issn>1054-8807</issn><eissn>1879-1336</eissn><abstract>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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>24849550</pmid><doi>10.1016/j.carpath.2014.04.002</doi><tpages>2</tpages></addata></record> |
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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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