Incidental Discovery of a Cardiac Thrombus Mimicking a Right Atrial Myxoma in a Young Female Patient – A Case Report
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Key result
Surgical removal and subsequent direct oral anticoagulation of a right atrial mass mimicking a myxoma in a 29-year-old female resulted in no thrombus recurrence at 6 months.
Why the study?
To assess the diagnostic difficulty and therapeutic management of an intracardiac mass.
Population
A 29-year-old female with a 35/20 mm right atrial mass
Design
Case report
Authors
Discussion
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Member takes
Implication
Stresses multimodal evaluation for intracardiac masses in young adults; leaves open standardized diagnostic and therapeutic algorithms.
Study Design
Type
Case Report (n=1)
Multicenter
No
Structured PICO
P
Population
A 29-year-old female smoker with hypothyroidism who presented with left arm paresthesia and was incidentally found to have a right atrial mass mimicking a myxoma.
I
Intervention
Surgical removal of the right atrial mass (thrombectomy), direct suture closure of patent foramen ovale, and subsequent direct oral anticoagulant treatment.
O
Outcome
Successful surgical removal and histopathological diagnosis of the mass, with absence of thrombus recurrence at follow-up.
Right atrial thrombi can mimic atrial myxomas on echocardiography and may require surgical removal and multidisciplinary management to prevent severe embolic complications.
Limitations
- Lack of evidence-based guidelines or consensus in the specialized literature regarding the best therapeutic approach for right atrial thrombi.
Cite This Study
Oltean et al. (2023) conducted a case report in Right atrial thrombus (n=1). Surgical thrombectomy and direct oral anticoagulation was evaluated on Absence of thrombus recurrence. Surgical removal and subsequent direct oral anticoagulation of a right atrial mass mimicking a myxoma in a 29-year-old female resulted in no thrombus recurrence at 6 months.
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