Key result
Surgical removal of a rare calcified IVC-RA thrombus succeeds without major risks in an asymptomatic woman.
Why the study?
Cardiac calcified thrombus is a rare non-neoplastic cardiac mass, and this report describes an unusual case occurring in a patient without comorbidities.
Case Report (n=1)
Surgical excision of a rare cardiac calcified thrombus in the right atrium and IVC is recommended to prevent thromboembolic events and confirm diagnosis.
Successful removal without major risks is feasible in select asymptomatic cases; leaves open optimal management strategies for rare calcified cardiac thrombi.
Cardiac calcified thrombus is a rare non-neoplastic cardiac mass that can present like an intra-cardiac tumor. The finding of a calcified thrombus in the inferior vena cava is described in patients with permanent central venous line or in presence of recurrent pulmonary embolism. The aim of the study is to describe a rare case of cardiac calcified thrombus in patient without comorbidities. We report an extremely unusual case of a 73 year-old woman with a calcified thrombus between the inferior cava and the atrium who was admitted to hospital for an incidental evidence of a heart neoformation mimicking a myxoma at an echocardiogram exam, totally asymptomatic performed as a screening test after thyroidectomy. Surgical removal of cardiac mass is fundamental both to achieve the correct diagnosis and to avoid thromboembolic risks or inferior vena cava occlusion. In a patient without serious comorbidities, surgical excision can be performed without major risks.
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Cisico et al. (2020) conducted a case report in Cardiac calcified thrombus (n=1). Surgical removal was evaluated. Surgical removal of a rare cardiac calcified thrombus between the inferior vena cava and right atrium was performed successfully without major risks in an asymptomatic 73-year-old woman.
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