ISSN 1016-5169 | E-ISSN 1308-4488
Archives of the Turkish Society of Cardiology
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Case images: Giant left atrial thrombus with atypical location [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2006; 34(4): 267-267

Case images: Giant left atrial thrombus with atypical location

Şakir Arslan1, Bilgehan Erkut2, Fuat Gündoğdu1, Enbiya Aksakal1
1Cardiology Department, Faculty of Medicine, Atatürk University, Erzurum
2Cardiovascular Surgery Department, Faculty of Medicine, Atatürk University, Erzurum

An 62 year-old woman was admitted to our hospital because of palpitation and dyspnea. Physical examination was unremarkable except for tachycardia. A 12-lead electrocardiogram showed atrial fibrillation. Transesophageal echocardiography (TEE) revealed a large suspicious mass (4x2 cm) between superior pulmonary vens, which could have been a cardiac metastatic mass protruding into the left atrium. There were no idendefiable masses in the left atrial appendage. Fractional heparin was started to prevent any tromboembolic occurrences during follow up. Two weeks later TEE revealed that the mass became smaller (3x1cm) and became mobile and fragile. The patient had cardiac surgery performed for the removal of the intracardiac mass. On pathologic examination the mass was diagnosed as an organized thrombus.
TTE has been shown to be a superior method in defining the characteristics of a mass in the left atrium. We think to metastatic cardiac mass that between superior pulmonary vens of mass and absence of any additional masses in the left atrial appendage in our case. However, we think to organized thrombus that smaller in mass with heparin theraphy.

Keywords: Left atrial thrombus, transesophageal echocardiography

How to cite this article
Şakir Arslan, Bilgehan Erkut, Fuat Gündoğdu, Enbiya Aksakal. Case images: Giant left atrial thrombus with atypical location. Turk Kardiyol Dern Ars. 2006; 34(4): 267-267

Corresponding Author: Şakir Arslan, Türkiye
Manuscript Language: Turkish


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