Complex right atrial mass in endomyocardial fibrosis: a diagnostic dilemma

Endomyocardial fibrosis, though a vanishing disease from India, remains an important cause of heart failure in children, adolescents and young adults. It may be complicated with arrhythmias and thromboembolism and is an important cause of mortality and morbidity. Moreover, usual presentation of this condition is in advanced stage with poor prognosis. Ventricular endocardial fibrosis with organised thrombus is the hall mark of this entity. Presence of associated cardiac mass poses a diagnostic challenge. We present one such case of endomyocardial fibrosis, in which a large thrombus was seen adherent to the anterolateral wall of right atrium, posing further risk of thromboembolism with complex management issues.

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A diagnostic challenge - an unusual right atrial mass, 12 years following atrial septal defect surgery

Interactive Cardiovascular and Thoracic Surgery ◽

10.1510/icvts.2005.109512 ◽

2005 ◽

Vol 4 (4) ◽

pp. 285-286 ◽

Cited By ~ 2

Author(s):

J. B. Pillai

Keyword(s):

Atrial Septal Defect ◽

Septal Defect ◽

Right Atrial ◽

Diagnostic Challenge ◽

Atrial Mass ◽

Right Atrial Mass

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A case series of right atrial mass in neonates: a diagnostic dilemma

The Journal of Maternal-Fetal & Neonatal Medicine ◽

10.1080/14767058.2019.1636961 ◽

2019 ◽

pp. 1-4

Author(s):

Viraraghavan V. Ramaswamy ◽

Vikram Kudumula ◽

Bandiya Prathik ◽

G. S. Sanghamitra ◽

Nori Suryanarayana ◽

...

Keyword(s):

Case Series ◽

Right Atrial ◽

Diagnostic Dilemma ◽

Atrial Mass ◽

Right Atrial Mass

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Right Atrial Mass, A Rare Diagnostic Dilemma

10.1164/ajrccm-conference.2020.201.1_meetingabstracts.a3437 ◽

2020 ◽

Author(s):

C.-D. Kang ◽

J. Choa

Keyword(s):

Right Atrial ◽

Diagnostic Dilemma ◽

Atrial Mass ◽

Right Atrial Mass

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Right Atrial Thrombus Mimicking Myxoma

Indian Journal of Cardiovascular Disease in Women WINCARS ◽

10.1055/s-0038-1622964 ◽

2017 ◽

Vol 02 (04) ◽

pp. 086-090

Author(s):

Lalita Nemani ◽

Satish Killi

Keyword(s):

Surgical Excision ◽

Massive Pulmonary Embolism ◽

Lower Limbs ◽

Right Atrial ◽

Protein C Deficiency ◽

Atrial Thrombus ◽

Diagnostic Dilemma ◽

Atrial Mass ◽

Right Atrial Mass ◽

Right Atrial Thrombus

AbstractRight atrial mass could be a tumor, thrombus, or vegetation, and it often poses a diagnostic dilemma. Accurate diagnosis is crucial to planning the correct management strategy. However, despite the advanced and sophisticated diagnostic modalities available, differentiating intracardiac masses could still be challenging. Clinical presentation leads to the appropriate conduit of investigations, and histopathology is confirmatory. When the diagnostic dilemma persists even after all efforts, clinical scenario should be strongly reconsidered, especially in unique clinical settings before concluding a diagnosis. In this article, the authors describe the case of a young woman with history of peripheral arterial thrombosis, who underwent surgical excision of a right atrial mass diagnosed as right atrial myxoma. She later presented with massive pulmonary embolism and deep vein thrombosis of the lower limbs. In view of her extensive thrombotic history, her entire case was reviewed including the histopathology slides, and the diagnosis of right atrial thrombus was considered and confirmed. On further workup for thrombotic state, she was found to have protein C deficiency.

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Diagnosis and treatment of Primary Cardiac Lymphoma: A Case Report

10.21203/rs.3.rs-318640/v1 ◽

2021 ◽

Author(s):

Zhongping Ai ◽

Liang Jiang ◽

Mingyang Peng ◽

Xindao Yin ◽

Hui Xu

Keyword(s):

Right Atrium ◽

Poor Prognosis ◽

Histopathological Examination ◽

B Cell Lymphoma ◽

Right Atrial ◽

Careful Examination ◽

Cardiac Lymphoma ◽

Primary Cardiac Lymphoma ◽

Right Atrial Mass ◽

The Right

Abstract Background: Primary cardiac lymphoma (PCL) is an extremely rare cardiac tumor and progresses rapidly, which often has short median survival time and poor prognosis unless diagnosed and treated in time.Case presentation: A 61-year-old man was admitted to hospital with repeated chest tightness and pain for 3 days and the right atrial mass by ultrasonography in the other hospital for 1 day. The echocardiography revealed an irregular hyperechoic mass in the right atrium with the size of the mass is about 5.3cm*4.3cm. Partial resection of right atrial tumor under general anesthesia and cardiopulmonary bypass was performed. After operation, enhanced chest computed tomography (CT) showed a mild enhancement mass in the right atrium. The histopathological examination revealed diffuse large B cell lymphoma. After careful examination, PCL was diagnosed and chemotherapy of low dose R-CHOP for 6 courses were used. After the last course, enhanced CT examination showed that the tumor almost disappeared and the patient's symptoms improved significantly.Conclusion: PCL is a extraordinarily rare disease with poor prognosis, and it is necessary to improve the awareness of this disease.Prompt diagnosis and timely chemotherapy in combination with surgery could lead to excellent clinical outcomes of the patient with PCL.

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