PP-190 Menagement of Atrial Thrombi: 8 Cases




Objective


Although atrial thrombuses are not very common, atrial masses may represent as tumors or thrombus in the heart. Masses that totally fill the atrium cause life threatening conditions if left untreated.




Methods and Results


Case 1


A 47-year-old female was admitted because of progressive orthopnea and dyspnea with atrial fibrillation. The 5 cm×6 cm×7 cm sized mimicking atrial myxoma and its attached pedicle and tricuspid valve were completely excised and placed with 33 no bovine bioprostheses valve (St Jude, Bioprotheses, Minn. USA).


Case 2


A 65-year-old female patient presented with progressive shortness of breath, swelling in her legs, was admitted to the emergency department. A CT-scan (computerized tomography) was performed which confirmed the presence of large thrombus around the catheter in the superior vena cava and 30X50 mm mass in the right atrium.


Case 3


A 63-year old female patient with long-standing history of Alzheimer’s demans. Echocardiography revealed a 25×11 mm echo-low-dense structure within the left atrium and non valvular atrial fibrillation.


Case 4


A 52-year-old female patient presented with progressive shortness of breath was admitted to the emergency department. A transthoracic echocardiogram was performed. A severely dilated left atrium containing a large (1.5 cm-2.4 cm) and highly mobile mass relevant with the mechanical valve was revealed.


Case 5


A 67-year-old female presented with progressive shortness of breath, swelling in the legs was admitted to the emergency department. A transthoracic echocardiogram was performed. 2.3 cm-2 cm and highly mobile mass relevant with the mechanical valve was revealed.


Case 6


A 18 year old female was presented with progressive shortness of breath, swelling in the legs was admitted to the emergency department. A transthoracic echocardiogram was performed. 5 cm-5 cm and highly mobile mass attached on the top of the catheter.


Case 7


A 54 year old male was was presented with progressive shortness of breath, swelling in the legs was admitted to the emergency department. He had a history of aortic and mitral valve replacement surgery 28 years ago on account of rheumatic heart disease.


Case 8


A 30 year old female was was presented with progressive shortness of breath, swelling in the legs was admitted to the emergency department. She had a history of three time mitral valve replacement surgery.




Methods and Results


Case 1


A 47-year-old female was admitted because of progressive orthopnea and dyspnea with atrial fibrillation. The 5 cm×6 cm×7 cm sized mimicking atrial myxoma and its attached pedicle and tricuspid valve were completely excised and placed with 33 no bovine bioprostheses valve (St Jude, Bioprotheses, Minn. USA).


Case 2


A 65-year-old female patient presented with progressive shortness of breath, swelling in her legs, was admitted to the emergency department. A CT-scan (computerized tomography) was performed which confirmed the presence of large thrombus around the catheter in the superior vena cava and 30X50 mm mass in the right atrium.


Case 3


A 63-year old female patient with long-standing history of Alzheimer’s demans. Echocardiography revealed a 25×11 mm echo-low-dense structure within the left atrium and non valvular atrial fibrillation.


Case 4


A 52-year-old female patient presented with progressive shortness of breath was admitted to the emergency department. A transthoracic echocardiogram was performed. A severely dilated left atrium containing a large (1.5 cm-2.4 cm) and highly mobile mass relevant with the mechanical valve was revealed.


Case 5


A 67-year-old female presented with progressive shortness of breath, swelling in the legs was admitted to the emergency department. A transthoracic echocardiogram was performed. 2.3 cm-2 cm and highly mobile mass relevant with the mechanical valve was revealed.


Case 6


A 18 year old female was presented with progressive shortness of breath, swelling in the legs was admitted to the emergency department. A transthoracic echocardiogram was performed. 5 cm-5 cm and highly mobile mass attached on the top of the catheter.


Case 7


A 54 year old male was was presented with progressive shortness of breath, swelling in the legs was admitted to the emergency department. He had a history of aortic and mitral valve replacement surgery 28 years ago on account of rheumatic heart disease.


Case 8


A 30 year old female was was presented with progressive shortness of breath, swelling in the legs was admitted to the emergency department. She had a history of three time mitral valve replacement surgery.

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Nov 27, 2016 | Posted by in CARDIOLOGY | Comments Off on PP-190 Menagement of Atrial Thrombi: 8 Cases

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