Case report: A primary calcified cardiac mass in right atrium partially obstructs the tricuspid valve in a patient on hemodialysis

Liu, Hongduan; Tu, Xiaokang; Zhang, Hao; Fan, Chengming; Tan, Haoyu; Song, Lan; Wu, Qingqing; Li, Liming

doi:10.3389/fcvm.2022.950628

“…6,7 Vegetations on the tricuspid valve can be seen in case of infective endocarditis while non-infective masses have been reported in patients with antiphospholipid antibody syndrome. 8 Calcified masses such as the calcified amorphous tumour have been reported in patients with end stage renal failure, 9 and cardiac hydatid cysts on the tricuspid valve has also been described. 10 In case of previous cardiac surgery, the presence of prosthetic material can orient the aetiological diagnosis toward the presence of a thrombus.…”

Section: Discussionmentioning

confidence: 99%

Case Report: Right atrial organized thrombus three years after tricuspid annuloplasty

Abbass¹,

Mariani²,

Musa³

et al. 2023

F1000Res

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Background: Occurrence of right atrial masses, especially in patients with history of cardiac surgery, is rare. Differential diagnosis between malignant and non-malignant aetiologies might be cumbersome, and surgery is often required to prevent complications or disease evolution. Case: We report the case of a 16-year-old girl from a rural area of Sudan, who underwent surgery for a modified De Vega’s tricuspid annuloplasty, and mitral and aortic valve replacement with mechanical prostheses. The patient was on regular follow-up but demonstrated a poor compliance to anticoagulation therapy with a time in therapeutic range between 52% and 20%. She remained asymptomatic, but a right atrial mass was diagnosed by transthoracic echocardiography during a follow-up visit 41 months after the first operation. Surgical removal of the mass revealed an organized thrombus arising from the point where the Prolene stitches for the tricuspid annuloplasty were previously passed. The patient recovered from surgery, was discharged home on post-operative day 10 and the first follow-up visit at 30 days after discharge confirmed a good clinical status and a normal transthoracic echocardiography (TTE). Conclusions: This case report describes the diagnostic and therapeutic work-out of a thrombus formation on the suture lines of a tricuspid annuloplasty. Moreover, it highlights the importance of a strict and long follow-up after valvular surgery and of the adherence to anticoagulation therapy, especially for patients living in rural areas of developing countries.

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“… 7 , 8 Vegetations on the tricuspid valve can be seen in case of infective endocarditis while non-infective masses have been reported in patients with antiphospholipid antibody syndrome. 9 Calcified masses such as the calcified amorphous tumour have been reported in patients with end stage renal failure, 10 and cardiac hydatid cysts on the tricuspid valve has also been described. 11 In case of previous cardiac surgery, the presence of prosthetic material can orient the aetiological diagnosis toward the presence of a thrombus.…”

Section: Discussionmentioning

confidence: 99%

Case Report: Right atrial organized thrombus three years after tricuspid annuloplasty

Abbass¹,

Mariani²,

Musa³

et al. 2023

F1000Res

1

0

View full text Add to dashboard Cite

Background: Occurrence of right atrial masses, especially in patients with history of cardiac surgery, is rare. Differential diagnosis between malignant and non-malignant aetiologies might be cumbersome, and surgery is often required to prevent complications or disease evolution. Case: We report the case of a 16-year-old girl from a rural area of Sudan, who underwent surgery for a modified De Vega’s tricuspid annuloplasty, and mitral and aortic valve replacement with mechanical prostheses. The patient was on regular follow-up but demonstrated a poor compliance to anticoagulation therapy with a time in therapeutic range between 52% and 20%. She remained asymptomatic, but a right atrial mass was diagnosed by transthoracic echocardiography during a follow-up visit 41 months after the first operation. Surgical removal of the mass revealed an organized thrombus arising from the point where the Prolene stitches for the tricuspid annuloplasty were previously passed. The patient recovered from surgery, was discharged home on post-operative day 10 and the first follow-up visit at 30 days after discharge confirmed a good clinical status and a normal transthoracic echocardiography (TTE). Conclusions: This case report describes the diagnostic and therapeutic work-out of a thrombus formation on the suture lines of a tricuspid annuloplasty. Moreover, it highlights the importance of a strict and long follow-up after valvular surgery and of the adherence to anticoagulation therapy, especially for patients living in rural areas of developing countries.

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“…The presence of retained bone fragments within the endometrium poses significant 28 – 31 implications for fertility , often mimicking the function of an IUD by creating a physical barrier to implantation. This can lead to challenges in achieving pregnancy, highlighting the critical nature of complete extraction for those seeking fertility restoration.…”

Section: Comparative Effectivenessmentioning

confidence: 99%

Unexpected discovery of fetal bones instead of an intrauterine device: A unique gynecological case report

Yared,

al Hassan,

Tachdjian

et al. 2024

SAGE Open Medical Case Reports

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This case report details an unusual and unexpected finding in a 37-year-old woman with a history of two cesarean sections, who had an intrauterine device implanted. The patient presented with symptoms of abnormal uterine bleeding and dysmenorrhea. An initial ultrasound confirmed the presence of the intrauterine device. However, a startling discovery was made during the intrauterine device removal procedure: fetal bones were found within the patient. This case underscores the importance of thorough diagnostic evaluations in gynecological practice, particularly when dealing with patients who have complex gynecological histories. Significantly, it brings to light the necessity of employing hysteroscopy for comprehensive diagnostic assessment in cases of abnormal uterine bleeding post-abortion. This approach could aid in identifying rare and unexpected findings, such as retained fetal bones, which might be missed by conventional ultrasound. The report emphasizes the need for vigilance and thoroughness in gynecological examinations and contributes to the understanding of potential complications and anomalies associated with intrauterine device usage and post-abortion care.

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Case report: A primary calcified cardiac mass in right atrium partially obstructs the tricuspid valve in a patient on hemodialysis

Cited by 3 publications

References 22 publications

Case Report: Right atrial organized thrombus three years after tricuspid annuloplasty

Case Report: Right atrial organized thrombus three years after tricuspid annuloplasty

Case Report: Right atrial organized thrombus three years after tricuspid annuloplasty

Unexpected discovery of fetal bones instead of an intrauterine device: A unique gynecological case report

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