Catheter‑related giant right atrial thrombosis mimicking a myxoma: A case report

Stiru,Ovidiu; Dragulescu,Razvan; Geana,Roxana Carmen; Chibulcutean,Andreea; Raducu,Laura; Tulin,Adrian; Stroescu,Andra Balcangiu; Diaconu,Camelia; Savu,Cornel; Bacalbasa,Nicolae; Balescu,Irina; Iliescu,Vlad Anton

doi:10.3892/etm.2021.10035

June-2021 Volume 21 Issue 6

Full Size Image

Journals

International Journal of Molecular Medicine

International Journal of Molecular Medicine is an international journal devoted to molecular mechanisms of human disease.

International Journal of Oncology

International Journal of Oncology is an international journal devoted to oncology research and cancer treatment.

Molecular Medicine Reports

Covers molecular medicine topics such as pharmacology, pathology, genetics, neuroscience, infectious diseases, molecular cardiology, and molecular surgery.

Oncology Reports

Oncology Reports is an international journal devoted to fundamental and applied research in Oncology.

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine is an international journal devoted to laboratory and clinical medicine.

Oncology Letters

Oncology Letters is an international journal devoted to Experimental and Clinical Oncology.

Biomedical Reports

Explores a wide range of biological and medical fields, including pharmacology, genetics, microbiology, neuroscience, and molecular cardiology.

Molecular and Clinical Oncology

International journal addressing all aspects of oncology research, from tumorigenesis and oncogenes to chemotherapy and metastasis.

World Academy of Sciences Journal

Multidisciplinary open-access journal spanning biochemistry, genetics, neuroscience, environmental health, and synthetic biology.

International Journal of Functional Nutrition

Open-access journal combining biochemistry, pharmacology, immunology, and genetics to advance health through functional nutrition.

International Journal of Epigenetics

Publishes open-access research on using epigenetics to advance understanding and treatment of human disease.

Medicine International

An International Open Access Journal Devoted to General Medicine.

June-2021 Volume 21 Issue 6

Full Size Image

Case Report

Catheter‑related giant right atrial thrombosis mimicking a myxoma: A case report

Authors:
- Ovidiu Stiru
- Razvan Dragulescu
- Roxana Carmen Geana
- Andreea Chibulcutean
- Laura Raducu
- Adrian Tulin
- Andra Balcangiu Stroescu
- Camelia Diaconu
- Cornel Savu
- Nicolae Bacalbasa
- Irina Balescu
- Vlad Anton Iliescu
View Affiliations / Copyright

Affiliations: Department of Cardiovascular Surgery, ‘Prof. Dr. C. C.’ Iliescu Emergency Institute for Cardiovascular Diseases, 022322 Bucharest, Romania, Department of Plastic and Reconstructive Microsurgery, ‘Carol Davila’ University of Medicine and Pharmacy, 020021 Bucharest, Romania, Department of General Surgery, ‘Prof. Dr. Agripa Ionescu’, Clinical Emergency Hospital, 011356 Bucharest, Romania, Department of Cardiovascular Surgery, ‘Carol Davila’ University of Medicine and Pharmacy, 020021 Bucharest, Romania, Department of Internal Medicine, ‘Carol Davila’ University of Medicine and Pharmacy, 020021 Bucharest, Romania, Department of Thoracic Surgery, ‘Carol Davila’ University of Medicine and Pharmacy, 020021 Bucharest, Romania, Department of Obstetrics and Gynecology, ‘Carol Davila’ University of Medicine and Pharmacy, 020021 Bucharest, Romania, Department of Surgery, ‘Ponderas’ Academic Hospital, 021188 Bucharest, Romania
Article Number: 603
|
Published online on: April 14, 2021

https://doi.org/10.3892/etm.2021.10035
Expand metrics +

Abstract

Despite the development of imagistic methods, the differential diagnosis of a right atrial mass may be difficult to be established, the most common pathologies which should be taken in consideration being represented by thrombus, tumors, prominent crista terminalis, or vegetation of infectious endocarditis. In this study, we present the case of a 63‑year‑old man with chronic kidney disease, in hemodialysis (HD) with a silicone central venous catheter (CVC) with the incidental transthoracic echocardiography (transthoracic echocardiogram, TTE) finding of a tumoral mass of 35x26 mm in the right atrium (RA), not related with the catheter, which was diagnosed as right atrial myxoma and underwent surgical excision. After reviewing the histopathology probe, the diagnosis of right atrial thrombus was confirmed. In conclusion, differentiating intracardiac right atrial masses (RAMs) could may prove challenging. In our patient, clinical presentation and the preoperative investigations could not differentiate the right atrial thrombus from a myxoma, and only the postoperative histopathology diagnosis was able to guide correct diagnosis.

View Figures

View References

1	Wang J, Wang G, Bi X, Zhang R and Liu C: An unusual presentation of prominent crista terminalis mimicking a right atrial mass: A case report. BMC Cardiovasc Disord. 18(210)2018.PubMed/NCBI View Article : Google Scholar
2	McAllister HA Jr, Hall RJ and Cooley DA: Tumors of the heart and pericardium. Curr Probl Cardiol. 24:57–116. 1999.PubMed/NCBI
3	Cianciulli TF, Saccheri MC, Redruello HJ, Cosarinsky LA, Celano L, Trila CS, Parisi CE and Prezioso HA: Right atrial thrombus mimicking myxoma with pulmonary embolism in a patient with systemic lupus erythematosus and secondary antiphospholipid syndrome. Tex Heart Inst J. 35:454–457. 2008.PubMed/NCBI
4	Iliescu VA, Dorobantu LF, Stiru O, Iosifescu AG, Coman I, Marin S and Filipescu D: Second recurrence of cardiac myxoma 7 years after the initial operation. Chirurgia (Bucur). 103:239–241. 2008.PubMed/NCBI(In Romanian).
5	Gosev I, Paic F, Duric Z, Gosev M, Ivcevic S, Jakus FB and Biocina B: Cardiac myxoma the great imitators: Comprehensive histopathological and molecular approach. Int J Cardiol. 164:7–20. 2013.PubMed/NCBI View Article : Google Scholar
6	Hussain N, Shattuck PE, Senussi MH, Velasquez Kho E, Mohammedabdul M, Sanghavi DK, Mustafa U, Balavenkataraman A and Obradovic DM: Large right atrial thrombus associated with central venous catheter requiring open heart surgery. Case Rep Med. 2012(501303)2012.PubMed/NCBI View Article : Google Scholar
7	van Laecke S, Dhondt A, de Sutter J and Vanholder R: Right atrial thrombus in an asymptomatic hemodialysis patient with malfunctioning catheter and patent foramen ovale. Hemodial Int. 9:236–240. 2005.PubMed/NCBI View Article : Google Scholar
8	Dorobantu LF, Stiru O, Prodea A, Cioranu R, Georgescu A, Filipescu D and Iliescu VA: Unique case of primary malignant fibrous histiocytoma of the right ventricle with moderator band involvement. Heart Surg Forum. 14:E245–E248. 2011.PubMed/NCBI View Article : Google Scholar
9	Catez E, Tatnga Ngatcha V and Catez S: An unusual right atrial mass: Case report and review of the literature. Acta Cardiol. 65:477–480. 2010.PubMed/NCBI View Article : Google Scholar
10	Matsukuma S, Yamaguchi H and Hamawaki M: Floating and entangled long right atrial thrombus mimicking myxoma. J Echocardiogr. 8:146–147. 2010.PubMed/NCBI View Article : Google Scholar
11	Kingdon EJ, Holt SG, Davar J, Pennell D, Baillod RA, Burns A, Sweny P and Davenport A: Atrial thrombus and central venous dialysis catheters. Am J Kidney Dis. 38:631–639. 2001.PubMed/NCBI View Article : Google Scholar
12	Zhao C, Sathya B, Nadal Rios R, Arai AE, Brofferio A, Thein SL and Ruhl AP: Catheter-related right atrial thrombus in sickle cell disease. Clin Case Rep. 5:1898–1900. 2017.PubMed/NCBI View Article : Google Scholar
13	Nemani L and Killi S: Right atrial thrombus mimicking myxoma. Indian J Cardiovasc Dis Women-WINCARS. 2:86–90. 2017.
14	Yamane Y, Morimoto H, Okubo S, Koshiyama H and Mukai S: Right atrial calcified ball thrombus mimicking a myxoma. Heart Lung Circ. 25:e21–e23. 2016.PubMed/NCBI View Article : Google Scholar
15	Elliott MJ, Zimmerman D and Holden RM: Warfarin anticoagulation in hemodialysis patients: A systematic review of bleeding rates. Am J Kidney Dis. 50:433–440. 2007.PubMed/NCBI View Article : Google Scholar

Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Catheter‑related giant right atrial thrombosis mimicking a myxoma: A case report

This article is mentioned in:

Abstract

Figure 1

Figure 2

Figure 3

Figure 4

Related Articles