Pulmonary embolism due to the right atrial thrombus mimicking atrial myxoma in protein C deficiency patient
Journal Title: MedPulse -International Medical Journal - Year 2014, Vol 1, Issue 8
Abstract
Introduction: Atrial masses are uncommon, and mainly consist of tumours, vegetations and thrombi. Despite the availability of several imaging modalities, it may still be difficult to distinguish between them. Right atrial thrombi are rare but associated with high mortality. We describe a case of a large right atrial thrombus with pulmonary embolism, in a protein C deficient patient. Right atrial thrombus mimicked atrial myxoma on TEE examination. CT thorax with contrast demonstrated thrombosis in right pulmonary artery and its branches. Right atrial clot was successfully removed surgically and pulmonary embolism treated conservatively with full recovery of symptoms.
Authors and Affiliations
G R Kane, Shantanu Deshpande, Somnath Mallakmir, Mukesh Laddha
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