Key result
Surgical excision and pathohistologic evaluation of a right ventricular mass revealed thrombotic masses, leading to a final diagnosis of arrhythmogenic right ventricular cardiomyopathy.
Case Report (n=1)
This case highlights the diagnostic challenge of right ventricular masses, demonstrating that thrombotic masses can occur in the setting of arrhythmogenic right ventricular cardiomyopathy.
RV masses in ARVC warrant consideration of thrombosis; extends phenotypic spectrum but remains hypothesis-generating.
Detection of an intracardiac mass always represents a clinical challenge. We present a 61-year-old female patient with symptoms of New York Heart Association class III. Two-dimensional transthoracic echocardiography revealed a hypoechogenic mass in the cavity of the dilated right ventricle (RV). Cardiac MRI described a pathologic structure of the RV free wall with pedunculated tumor in its cavity. Three months later, on a repeated echocardiography, there were three individual masses. The patient underwent surgery and the pathohistologic report demonstrated thrombotic masses. During the postoperative period, after reviewing all medical records, the conclusion was arrhythmogenic RV cardiomyopathy.
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Sušić et al. (2016) conducted a case report in Right ventricular mass / Arrhythmogenic right ventricular cardiomyopathy (n=1). Surgical excision and diagnostic workup was evaluated on Final diagnosis. Surgical excision and pathohistologic evaluation of a right ventricular mass revealed thrombotic masses, leading to a final diagnosis of arrhythmogenic right ventricular cardiomyopathy.
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