Right Atrial Thrombus Mimicking Right Atrial Myxoma

우심방 점액종으로 오인된 우심방 혈전

  • Han, Jong-Hee (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chungnam National University) ;
  • Kang, Min-Woong (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chungnam National University) ;
  • Yu, Jae-Hyeon (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chungnam National University) ;
  • Lim, Seung-Pyung (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chungnam National University) ;
  • Lee, Young (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chungnam National University) ;
  • Na, Myung-Hoon (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chungnam National University)
  • 한종희 (충남대학교 의과대학 흉부외과학교실) ;
  • 강민웅 (충남대학교 의과대학 흉부외과학교실) ;
  • 유재현 (충남대학교 의과대학 흉부외과학교실) ;
  • 임승평 (충남대학교 의과대학 흉부외과학교실) ;
  • 이영 (충남대학교 의과대학 흉부외과학교실) ;
  • 나명훈 (충남대학교 의과대학 흉부외과학교실)
  • Published : 2007.02.05

Abstract

A right atrial thrombus in structurally normal heart is very rare. A 66-year-old woman was admitted with chest discomfort and dyspnea. She was diagnosed of right atrial myxoma on echocardiography and chest computed tomography, We peformed an excision of the mass attached to atrial septum, which was found to be an organized mural thrombus by pathologic examination. We report this rare case with a review of literature.

정상 심장에서의 우심방 혈전은 매우 드문 질환이다. 흉부 불편감과 호흡곤란을 주소로 내원한 66세 여자가 심장 초음파와 흉부 전산화 단층촬영에서 우심방 점액종으로 진단되었다. 종괴가 붙어 있는 심방 중격을 포함해 절제를 시행하였고 조직검사상 조직화된 우심방 혈전으로 진단되어 문헌 고찰과 함께 보고하는 바이다.

Keywords

References

  1. Reynen K. Medical progress: cardiac myxomas. NEJM 1995;333:1610-7 https://doi.org/10.1056/NEJM199512143332407
  2. Halaseh WA, Shah NA, DeGregorio J. Right ventricular thrombus mimicking a myxoma in a 19-year-old man. Hosp Physician 2005;56:39-42
  3. DeGroat TS, Parameswaran R, Popper PM, Kotler MN. Left ventricular thrombi in association with normal left ventricular wall motion in patients with malignancy. Am J Cardiol 1985;56:827-8 https://doi.org/10.1016/0002-9149(85)90545-4
  4. Chin WW, Tosh AV, Hecht SR, Berger M. Left ventricular thrombus with normal left ventricular function in ulcerative colitis. Am Heart J 1988;116:562-3 https://doi.org/10.1016/0002-8703(88)90636-9
  5. Kim HJ, Yang JC, Kim SH. A recurrent intracardiac thrombosis in a patient with Behcet's disease. Korean J Med 2005;69:227-230
  6. Junghans RP, Manning W, Safar M, Quist W. Biventricular cardiac thrombosis during interleukin-2 infusion. NEJM 2001;344:859-60 https://doi.org/10.1056/NEJM200103153441118
  7. Wartman WB, Hellerstein HK. The incidence of heart disease in 2,000 consecutive autopsies. Ann Intern Med 1948;28:41-65 https://doi.org/10.7326/0003-4819-28-1-41
  8. Toda R, Yuda T, Nishida T, Toyohira H, Taira A. Right atrial mural thrombus associated with pericarditis. Ann Thorac Surg 1996;62:1505-6 https://doi.org/10.1016/0003-4975(96)00399-2
  9. Pasierski TJ, Alton ME, Van Fossen DB, et al. Right atrial mobile thrombus: improved visualization by transesophageal echocardiography. Am Heart J 1992;123:802-3 https://doi.org/10.1016/0002-8703(92)90529-5
  10. Tsuchiya F, Kohno A, Saitoh R, Shigeta A. CT findings of atrial myxoma. Radiology 1984;151:139-43 https://doi.org/10.1148/radiology.151.1.6701303