Key result
IV heparin completely resolves a large RV apical mass within one week, confirming a thrombus.
Case Report (n=1)
A trial of anticoagulation may be useful to differentiate a right ventricular thrombus from a tumor when diagnosis is uncertain.
Cardiac mass is always challenging, specially in the right side of the heart that should raise suspicion of a malignancy. A 15-year-old poor growth and poor weight gain girl with dyspnea was examined in the emergency room. Transthoracic echocardiography revealed a large homogeneous mass in the RV apex which disappeared one week after intravenous heparin therapy. A trial of anticoagulation should be considered when the differential diagnosis is difficult and thrombus is a possibility.
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Rohani et al. (2016) conducted a case report in Right ventricular mass (n=1). Intravenous heparin therapy was evaluated on Disappearance of the mass. Intravenous heparin therapy led to the complete disappearance of a large right ventricular apical mass within one week, confirming it was a thrombus.
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