Key result
Multimodal TEE and CMR successfully diagnose a right atrial thrombus in a Hodgkin lymphoma patient.
Why the study?
Catheter-related right atrial thrombosis is uncommon, underdiagnosed, and carries significant mortality risk, with right atrial masses often found incidentally representing various etiologies.
Case Report (n=1)
Multimodal cardiac imaging, including TEE and CMR, is valuable for accurately diagnosing incidental right atrial masses such as catheter-related thrombi.
May aid detection of right atrial thrombi in lymphoma; hypothesis-generating for multimodal imaging pending validation.
Right atrial masses can be found incidentally on imaging studies, which could represent cardiac or non-cardiac tumors, vegetations, or thrombi. Catheter-related right atrial thrombosis is an uncommon and underdiagnosed condition, but has been associated with significant mortality risk. Herein, we present a case of a 56-year-old man with Hodgkin lymphoma who was found to have a right atrial mass on routine transthoracic echocardiogram. The diagnosis of right atrial thrombus was made by using transesophageal echocardiogram and cardiac magnetic resonance imaging. He was managed with intravenous heparin and was being evaluated for possible thrombectomy when he died from complications of septic shock.
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Chan et al. (2019) conducted a case report in Hodgkin lymphoma with right atrial mass (n=1). Multimodal cardiac imaging (transesophageal echocardiogram and cardiac magnetic resonance) was evaluated. Multimodal cardiac imaging including transesophageal echocardiogram and cardiac magnetic resonance successfully diagnosed a right atrial thrombus in a patient with Hodgkin lymphoma.
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