October 31, 2023BMC Cardiovascular DisordersOpen Access

Extensive systemic thrombo-embolism including intra-cardiac thrombosis mimicking an atrial myxoma in a patient with beta thalassaemia major – a case report

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Why the study?

Intracardiac thrombi are rare complications of thalassemia major and can lead to diagnostic dilemmas.

Population

A 20-year-old female splenectomised thalassaemia major patient with severe iron overload and sepsis

Design

Case report

Authors

CWChiranthi WelhengeColombo North Teaching Hospital RRRumesh RanasingheColombo North Teaching Hospital SRSanjeewa RajapakseColombo North Teaching Hospital

Discussion

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Implication

Hypothesis-generating for anticoagulation of RA thrombus in septic TM; leaves open whether this can safely replace surgery.

Structured PICO

Population

20-year-old female splenectomised thalassaemia major patient with severe iron overload, presenting with life-threatening sepsis associated with a liver abscess and a large oscillating intra-cardiac lesion.

Intervention

Antibiotics and anticoagulation

Outcome

Resolution of the intra cardiac thrombus

Intracardiac thrombosis is a potentially treatable cause for an intracardiac mass in patients with thalassemia major that can mimic an atrial myxoma and resolves with anticoagulation and antibiotics.

Cite This Study

Welhenge et al. (2023) studied this question.

synapsesocial.com/papers/6a7ec6d3acd59602a78ba137 https://doi.org/10.1186/s12872-023-03576-2

Topics

Atrial fibrillation Persistent AF management

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Extensive systemic thrombo-embolism including intra-cardiac thrombosis mimicking an atrial myxoma in a patient with beta thalassaemia major – a case report

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Topics

Extensive systemic thrombo-embolism including intra-cardiac thrombosis mimicking an atrial myxoma in a patient with beta thalassaemia major – a case report

Discussion

Member takes

Implication

Structured PICO

Cite This Study

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Topics

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