Right ventricle mass in transit: Tumour or thrombi?
DOI:
https://doi.org/10.37615/retic.v4n3a10Keywords:
Right ventricle, thrombus, neoplasm, diagnosis.Abstract
Echodense images in the RV have a wide spectrum of diagnoses, the main ones being tumors or thrombi. We present the case of a 31-year-old woman in whom an echodense mass in transit in RV suggestive of thrombus was incidentally diagnosed. Venous thromboembolic disease was ruled-out. Cardiac MRI confirmed the echocardiographic diagnosi. The surgery showed new over old thrombus, and she received indefinite oral anticoagulation. This case shows how the multimodal imaging allows the accurate assessment of RV masses. The thrombus in the RV forces the clinician to rule out associated diseases.
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Patnaik S, Shah M, Sharma S, Ram P, Rammohan HS, Rubin A. A large mass in the right ventricle: Tumor or thrombus? CCJM. 2017;84(7):517-9.
Maini R, Gadiraju TV, Jabbar A, Danrad R, Sweeney A. Cardiac MRI as a useful tool to differentiate tumor and thrombus. Int J Cardiovasc Imaging. 2017;33(11):1795-6.
Cely CA, López-Guarch CJ, Charterina SA. Masas cardiacas: multimodalidad-resonancia magnética cardiaca. Revista Colombiana de Cardiología. 1 de julio de 2019;26:111-22.
Rai MP, Herzallah K, Alratroot A, Laird-Fick H. The dilemma in the management of haemodynamically stable pulmonary embolism with right heart thrombus. BMJ Case Reports CP. 2019;12(7):e229162.
Sušić L, Baraban V, Vincelj J, Maričić L, Ćatić J, Blažeković R, et al. Dilemma in clinical diagnosis of right ventricular masses. J Clin Ultrasound. 2017;45(6):362-9.
Sethi Sanjum S., Zilinyi Robert, Green Philip, Eisenberger Andrew, Brodie Daniel, Agerstrand Cara, et al. Right ventricular clot in transit in covid-19. JACC: Case Reports. 2020;2(9):1391-6.
Lempp S, Schwenger V. Isolated right ventricular thrombus in an adult patient with nephrotic syndrome: a case report. J Med Case Rep. 2017;11(1):311.
Benz DC, Fuchs TA, Tanner FC, Eriksson U, Yakupoglu HY. Multimodality imaging of a right ventricular mass. Eur Heart J Cardiovasc Imaging. 2019;20(10):1184.
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Copyright (c) 2021 Manuel Felipe Cáceres-Acosta, Viviana Quintero-Yepes, Jorge Alejandro Arroyave-Carvajal, Camilo Madrid-Muñoz, Pedro Abad-Díaz
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