E-ISSN 1658-7820
 

Case Report

Online Publishing Date:
17 / 11 / 2020

 


Large right atrial mass, is it a tumor or a thrombus? A case report

Ali Abdulaziz Alyami, Abdulaziz Ajeebi, Turki Almutairi, Ihab Suleiman.


Abstract
Background: Tumors and thrombi in the right atrium (RA) are rare. Some masses are difficult to differentiate, leading to misdiagnosis. We present the case of a young female who presented with a thrombus in the RA, which was confused with a tumor.
Case presentation: A 28-year-old single female, with a 5 months history of progressive shortness of breath, palpitation, severe cardiomyopathy with an ejection fraction of <20%, presented with severe acute chest pain aggravated by flight. An electrocardiogram was conducted, which showed atrial fibrillation, and echocardiography showed a large clot occluding the flow of the pulmonary trunk. The patient was admitted to the intensive care unit as a case of decompensated heart failure. Ten days later, transesophageal echocardiography and computed tomography angiography were carried out which showed a mass on the RA appendage, and it looked like a thrombus. Magnetic resonance imaging was carried out later which showed that the mass behaved more like a tumor than a thrombus. The mass was surgically excised and final pathology indicated a thrombus adherent to cardiac muscle.
Conclusion: The imaging diagnosis of the masses is challenging, since the differentiation of their characteristics is confusing even with the modality of choice.

Key words: Right atrial mass, thrombus, tumors, case report


 
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How to Cite this Article
Pubmed Style

Alyami AA, Ajeebi A, Almutairi T, Suleiman I. Large right atrial mass, is it a tumor or a thrombus? A case report. IJMDC. 2020; 4(12): 2357-2361. doi:10.24911/IJMDC.51-1598448285


Web Style

Alyami AA, Ajeebi A, Almutairi T, Suleiman I. Large right atrial mass, is it a tumor or a thrombus? A case report. https://www.ijmdc.com/?mno=129034 [Access: March 26, 2024]. doi:10.24911/IJMDC.51-1598448285


AMA (American Medical Association) Style

Alyami AA, Ajeebi A, Almutairi T, Suleiman I. Large right atrial mass, is it a tumor or a thrombus? A case report. IJMDC. 2020; 4(12): 2357-2361. doi:10.24911/IJMDC.51-1598448285



Vancouver/ICMJE Style

Alyami AA, Ajeebi A, Almutairi T, Suleiman I. Large right atrial mass, is it a tumor or a thrombus? A case report. IJMDC. (2020), [cited March 26, 2024]; 4(12): 2357-2361. doi:10.24911/IJMDC.51-1598448285



Harvard Style

Alyami, A. A., Ajeebi, . A., Almutairi, . T. & Suleiman, . I. (2020) Large right atrial mass, is it a tumor or a thrombus? A case report. IJMDC, 4 (12), 2357-2361. doi:10.24911/IJMDC.51-1598448285



Turabian Style

Alyami, Ali Abdulaziz, Abdulaziz Ajeebi, Turki Almutairi, and Ihab Suleiman. 2020. Large right atrial mass, is it a tumor or a thrombus? A case report. International Journal of Medicine in Developing Countries, 4 (12), 2357-2361. doi:10.24911/IJMDC.51-1598448285



Chicago Style

Alyami, Ali Abdulaziz, Abdulaziz Ajeebi, Turki Almutairi, and Ihab Suleiman. "Large right atrial mass, is it a tumor or a thrombus? A case report." International Journal of Medicine in Developing Countries 4 (2020), 2357-2361. doi:10.24911/IJMDC.51-1598448285



MLA (The Modern Language Association) Style

Alyami, Ali Abdulaziz, Abdulaziz Ajeebi, Turki Almutairi, and Ihab Suleiman. "Large right atrial mass, is it a tumor or a thrombus? A case report." International Journal of Medicine in Developing Countries 4.12 (2020), 2357-2361. Print. doi:10.24911/IJMDC.51-1598448285



APA (American Psychological Association) Style

Alyami, A. A., Ajeebi, . A., Almutairi, . T. & Suleiman, . I. (2020) Large right atrial mass, is it a tumor or a thrombus? A case report. International Journal of Medicine in Developing Countries, 4 (12), 2357-2361. doi:10.24911/IJMDC.51-1598448285





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