Atypical imaging presentation of a massive intracavitary cardiac thrombus: A case report and brief review of the literature.
CTA, CT angiography
Cardiac mass
ITP, immune thrombocytopenic purpura
IV, intravenous
SLE, systemic lupus erythematosus
SSFP, steady state free precession
TEE, transesophageal echocardiogram
TTE, transthoracic echocardiogram
Thrombus
Journal
Radiology case reports
ISSN: 1930-0433
Titre abrégé: Radiol Case Rep
Pays: Netherlands
ID NLM: 101467888
Informations de publication
Date de publication:
Oct 2021
Oct 2021
Historique:
received:
15
06
2021
revised:
28
06
2021
accepted:
29
06
2021
entrez:
17
8
2021
pubmed:
18
8
2021
medline:
18
8
2021
Statut:
epublish
Résumé
Intracavitary cardiac thrombi, uncommonly found in the right chambers, have been shown to form secondary to endocardial and myocardial diseases. The differential diagnosis for an intracavitary cardiac mass is broad, including primary cardiac tumors, cardiac metastases, anatomic variants, vegetations, and thrombi. Here we present a unique case with a large calcified intracavitary cardiac thrombus in a 26-year-old woman with obesity, immune thrombocytopenic purpura, and a new diagnosis of systemic lupus erythematosus. Initial imaging presentation in this case masqueraded as a tumor, delaying the true diagnosis. A combination of cardiac imaging techniques, including transthoracic and transesophageal echocardiograms, cardiac CT, and cardiac MRI were required to correctly diagnose this calcified bland thrombus.
Identifiants
pubmed: 34401011
doi: 10.1016/j.radcr.2021.06.089
pii: S1930-0433(21)00466-0
pmc: PMC8350016
doi:
Types de publication
Case Reports
Langues
eng
Pagination
2847-2852Informations de copyright
© 2021 The Authors. Published by Elsevier Inc. on behalf of University of Washington.
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