A Rare Case of a Pedicled Mobile Thrombus in Right Atrium

  • Xiaodong Li Department of Echocardiography, Cardiovascular Disease Center, The First Hospital of Jilin University, Changchun
  • Liping Chen Department of Echocardiography, Cardiovascular Disease Center, The First Hospital of Jilin University, Changchun
  • Xiumei Duan Department of Pathology, The First Hospital of Jilin University, Changchun
  • Xiaocong Wang Department of Echocardiography, Cardiovascular Disease Center, The First Hospital of Jilin University, Changchun

Abstract

Pedicled mobile thrombus in the right atrium is an extremely rare condition. Here, we described a case of a 42-year-old male hospitalized with complaints of chest pain and hemoptysis. Computed tomographic angiography of the pulmonary artery showed signs of embolism, and thoracic echocardiography indicated a pedicled mobile cloudy echo in the right atrium, which was initially suspected to be a myxoma. However, it was confirmed to be a thrombus by histopathological examination. Postoperatively, the patient was treated with anticoagulant therapy comprising of low molecular heparin and warfarin, and the patient recovered well. Thoracic echocardiography performed 3 months after surgery ruled out any recurrence of right atrial thrombus.

Author Biographies

Xiaodong Li, Department of Echocardiography, Cardiovascular Disease Center, The First Hospital of Jilin University, Changchun
Department of Echocardiography, Cardiovascular Disease Center, The First Hospital of Jilin University
Liping Chen, Department of Echocardiography, Cardiovascular Disease Center, The First Hospital of Jilin University, Changchun
Department of Echocardiography, Cardiovascular Disease Center, The First Hospital of Jilin University
Xiumei Duan, Department of Pathology, The First Hospital of Jilin University, Changchun
Department of Pathology, The First Hospital of Jilin University
Xiaocong Wang, Department of Echocardiography, Cardiovascular Disease Center, The First Hospital of Jilin University, Changchun
Department of Echocardiography, Cardiovascular Disease Center, The First Hospital of Jilin University

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Published
2016-12-02
Section
Articles