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Clinical Medicine Insights: Case Reports

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

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Clinical Medicine Insights: Case Reports 2017:10 1179547617698460

Case report

Published on 01 May 2017

DOI: 10.1177/1179547617698460


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Abstract

Tumor-like formation of thrombus in the right atrial cavity is rare. It may be mistaken for a myxoma. The exact pathophysiology of an isolated thrombus in the heart is still unclear. Management to prevent complications such as pulmonary thromboembolism depends on the clinical judgment of a cardiologist. This report describes a 76-year-old woman with right atrial thrombus causing subsequent pulmonary thromboembolism in right lung. She initially presented to us with pulmonary embolism, and later, an incidental finding of a mass in her right atrium revealed an association of thrombus in heart with thrombus in lung. The challenging management was to resect this thrombus which was fixed to atrial septum, and a trial of anticoagulation did not resolve it. Exact management of such incidental findings in right heart cavities is not well established. Some cases may benefit from resection of such formed fixed thrombus.



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