Open AccessExpecting the unexpected: right atrial mass in a transplant patient
Author(s) -
Yousefzai Rayan,
Trivedi Setu,
Jain Renuka,
Cheema Omar M.,
Crouch John D.,
Thohan Vinay,
Khandheria Bijoy K.
Publication year - 2015
Publication title -
esc heart failure
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.787
H-Index - 25
ISSN - 2055-5822
DOI - 10.1002/ehf2.12065
Subject(s) - medicine , thrombus , right atrium , heart transplantation , cardiology , differential diagnosis , heart failure , inferior vena cava , transplantation , radiology , superior vena cava , surgery , pathology
We present a 71‐year‐old male, who had had a heart transplantation 24 years prior, who came to our clinic with a low‐grade fever and a new II/VI holosystolic murmur. Echocardiography showed a large mass in the right atrium with attachment near the junction of the right atrium and superior vena cava. The patient was taken to the operating room for resection of the mass. Microscopic evaluation was consistent with thrombus. Differential diagnosis of cardiac masses after cardiac transplant includes tumour, thrombus, and vegetation. Final diagnosis can be challenging; multimodality imaging and biopsy or resection often are required for final diagnosis.