Undefined Hypercoaguable State Associated With Massive Right Ventricular Thrombus and Embolism in a Previously Healthy 17‐Year‐Old Male

Abstract

A right ventricular thrombus (RVT) is an unusual finding on echocardiography. We describe a healthy young male patient who developed RVT with subsequent pulmonary embolism (PE), the etiology of which remains uncertain.

Myocarditis complicated by massive right ventricular thrombus and extensive pulmonary embolism: A case report

“…Several conditions may contribute to the high risk of thrombus formation in myocarditis ( 9 – 13 ). The first is acquired or inherited thrombophilia ( 14 , 15 ).…”

Eroded Valves, Recurrent Pleural Effusions, and Ultimately Heart–Liver Transplant

“…This patient's first presentation was with a large RV mass, the source for his initial hospitalization with pulmonary embolism and infarction. The differential diagnosis of an RV mass includes benign and malignant neoplastic tumors, inflammatory pathology such as bacterial or fungal abscesses, eosinophilic cardiomyopathies, or an organized thrombus . Because of its size, its location along the RV free wall extending from the TV to PV, and its appearance, it was thought to be a tumor.…”

“…The differential diagnosis of an RV mass includes benign and malignant neoplastic tumors, inflammatory pathology such as bacterial or fungal abscesses, eosinophilic cardiomyopathies, or an organized thrombus. [3][4][5][6] Because of its size, its location along the RV free wall extending from the TV to PV, and its appearance, it was thought to be a tumor. Pathology following resection disclosed it was an organized thrombus mixed with fibroproliferative process.…”