Most organized myocardial thrombi appear as a left atrial mass in patients with rheumatic mitral stenosis and atrial fibrillation. Right atrial thrombi in the absence of atrial fibrillation have been associated with amplatzer occluders for atrial septal defects. We present images of a patient with a thrombotic right atrial mass without any underlying risk factors.A 70‐year‐old female was referred for evaluation of a spherical, calcified mass seen on a routine chest X‐ray (arrow in Figure A). There was no history of atrial fibrillation, valvular disease, or previous cardiac surgery. Her physical examination was unremarkable and an electrocardiogram showed normal sinus rhythm. A transthoracic echocardiogram (TTE) showed a 4 × 3 × 2.5‐cm mobile right atrial mass (Figure B). A contrast‐enhanced computed tomography scan showed an extensively calcified right atrial mass (Figure C). A coronary angiogram showed an avascular mass without any coronary artery disease (Figure D). At the time of surgery, following initiation of cardiopulmonary bypass and cardiac arrest, the right atrium was opened and a 5 × 4 × 3‐cm eggshaped mass with a fibrous pedicle was noted to be attached to the interatrial septum inferior to the fossa ovalis. The mass was easily excised and the septum remained intact. The patient tolerated the procedure well
Journal of Cardiac Surgery – Wiley
Published: Jan 1, 2018
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.
All for just $49/month
Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly
Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.
Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.
Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.
All the latest content is available, no embargo periods.
“Hi guys, I cannot tell you how much I love this resource. Incredible. I really believe you've hit the nail on the head with this site in regards to solving the research-purchase issue.”Daniel C.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud
“I must say, @deepdyve is a fabulous solution to the independent researcher's problem of #access to #information.”@deepthiw
“My last article couldn't be possible without the platform @deepdyve that makes journal papers cheaper.”@JoseServera