Thrombus entrapped in tricuspid chordae masquerading as tumour

Moaref, Alireza; Mollazadeh, Reza; Amirghofran, Ahmad Ali; Modjallal, Mehra

doi:10.1093/ejechocard/jen007

Cited by 3 publications

(3 citation statements)

References 2 publications

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“…Similar cases of thrombus mimicking cardiac tumours in the atrium have been published,9 – 12 as well as reports of thrombus entrapment in tricuspid chordae mimicking a tumour13 and of a cardiac structure, the crista terminalis, mimicking a mass 14. Finally, there are two descriptions of ventricular thrombus mimicking a tumour, one of which concerns a patient that also has anti-phospholipid syndrome15 and the other a sausage-shaped mass in the right ventricle in a patient with acute pulmonary embolism 16…”

Section: Discussionsupporting

confidence: 65%

A ventricular thrombus mimicking a tumour

Marchini

Rodrigues²,

Schmidt³

2009

Case Reports

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Primary cardiac tumours are a rare occurrence in clinical practice. Mural or pedunculated thrombi are other infrequent findings. These are usually associated with underlying heart disease, present in the left atrium or occupying aneurysms in the ventricular wall, usually the apex. The case of a 33-year-old woman with a pedunculated cardiac mass not having these latter characteristics is reported. She had experienced dyspnoea and lower extremity oedema for 3 years on referral. Echocardiography revealed a mass emerging from the interventricular septum, and a myxoma was suspected. Heart surgery was performed and the findings were a thrombus and large extent of septal and apical mural fibrosis. An endoaneurysmorraphy was performed with exclusion of fibrotic walls from the ventricular cavity.

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Section: Discussionsupporting

confidence: 65%

A ventricular thrombus mimicking a tumour

Marchini

Rodrigues²,

Schmidt³

2009

Case Reports

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“…Although several cases of thrombus-in-transit associated with pro-thrombotic conditions have been reported (1-3), a transit thrombus located in the right ventricular (RV) cavity is extremely rare (4,5). Here, we report a case of nephrotic syndrome (NS) with a RV thrombus-in-transit that threatened to cause a fatal pulmonary embolism (PE).…”

mentioning

confidence: 95%

Tricuspid valve chordae tendineae as protective filter to prevent massive pulmonary embolism

Watanabe

Shimbo²,

Terada³

et al. 2016

J. Thorac. Dis.

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“…A small percentage also develop when there are no apparent aetiological factors. 3 During recent years, the ante-mortem diagnosis has increased in incidence, especially due to the application of non-invasive imaging techniques, such as trans-thoracic and trans-oesophageal scans, 4 computed axial tomography (CAT) and magnetic resonance imaging (MRI), which allow a prompt and accurate diagnosis.…”

Section: Introductionmentioning

confidence: 99%

A Rare Case of Large Organized Thrombus of the Tricuspid Valve in a Normal Heart

et al. 2013

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Thrombosis of the tricuspid valve is a very rare cardiac pathological condition, characterized by the location and formation of thrombus near the valve edges. Clinically it can be very easy to mistake it for a myxoma or an infective endocarditis. The aetiology of this condition is an alteration of coagulation, deep venous thrombosis, cardiac structural anomalies or idiopathic forms of hearts that appear structurally normal. From a clinical point of view, the thrombosis of the tricuspid, if it is not totally occlusive, causes the development of symptoms related to the reduced flow and to cardiac congestion: easy fatigue, distension of jugular veins, hepatomegaly and pulmonary congestion with dyspnoea and haemoptysis. The case we studied is of an unexpected death in a subject whose preliminary case history did not show any cardiovascular or pulmonary pathology. It was caused by a thrombosis in the tricuspid valve, originating from a deep venous thrombosis of right iliofemoral axis. In conclusion this case highlights the importance of defining precise anatomical abnormalities in forensic pathological cases.

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Thrombus entrapped in tricuspid chordae masquerading as tumour

Cited by 3 publications

References 2 publications

A ventricular thrombus mimicking a tumour

A ventricular thrombus mimicking a tumour

Tricuspid valve chordae tendineae as protective filter to prevent massive pulmonary embolism

A Rare Case of Large Organized Thrombus of the Tricuspid Valve in a Normal Heart

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