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Mobile Intracardiac Mass after Inguinal Hernia Repair: An Unresolved Treatment Dilemma

Right heart thrombi (RHT) are rare but well-described entity in literature. Their isolation has been considered as confirmatory for the diagnosis of venous thromboembolism (VTE). Even though their isolation aids the diagnosis, physicians are faced with a difficult management dilemma giving the pauci...

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Detalles Bibliográficos
Autores principales: Almehmadi, Fahad, Davis, Mark, Singh, Sheldon M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4553172/
https://www.ncbi.nlm.nih.gov/pubmed/26351587
http://dx.doi.org/10.1155/2015/375089
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author Almehmadi, Fahad
Davis, Mark
Singh, Sheldon M.
author_facet Almehmadi, Fahad
Davis, Mark
Singh, Sheldon M.
author_sort Almehmadi, Fahad
collection PubMed
description Right heart thrombi (RHT) are rare but well-described entity in literature. Their isolation has been considered as confirmatory for the diagnosis of venous thromboembolism (VTE). Even though their isolation aids the diagnosis, physicians are faced with a difficult management dilemma giving the paucity of data to support any treatment decision. We present a case of RHT in an 81-year-old man who presented to hospital with a large mobile right heart thrombus in transit seen on transthoracic echocardiogram (TTE). He was successfully treated with anticoagulation alone. This case highlights the importance of TTE in establishing the diagnosis and describes the interplay of factors influencing treatment decision.
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spelling pubmed-45531722015-09-08 Mobile Intracardiac Mass after Inguinal Hernia Repair: An Unresolved Treatment Dilemma Almehmadi, Fahad Davis, Mark Singh, Sheldon M. Case Rep Cardiol Case Report Right heart thrombi (RHT) are rare but well-described entity in literature. Their isolation has been considered as confirmatory for the diagnosis of venous thromboembolism (VTE). Even though their isolation aids the diagnosis, physicians are faced with a difficult management dilemma giving the paucity of data to support any treatment decision. We present a case of RHT in an 81-year-old man who presented to hospital with a large mobile right heart thrombus in transit seen on transthoracic echocardiogram (TTE). He was successfully treated with anticoagulation alone. This case highlights the importance of TTE in establishing the diagnosis and describes the interplay of factors influencing treatment decision. Hindawi Publishing Corporation 2015 2015-08-16 /pmc/articles/PMC4553172/ /pubmed/26351587 http://dx.doi.org/10.1155/2015/375089 Text en Copyright © 2015 Fahad Almehmadi et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Almehmadi, Fahad
Davis, Mark
Singh, Sheldon M.
Mobile Intracardiac Mass after Inguinal Hernia Repair: An Unresolved Treatment Dilemma
title Mobile Intracardiac Mass after Inguinal Hernia Repair: An Unresolved Treatment Dilemma
title_full Mobile Intracardiac Mass after Inguinal Hernia Repair: An Unresolved Treatment Dilemma
title_fullStr Mobile Intracardiac Mass after Inguinal Hernia Repair: An Unresolved Treatment Dilemma
title_full_unstemmed Mobile Intracardiac Mass after Inguinal Hernia Repair: An Unresolved Treatment Dilemma
title_short Mobile Intracardiac Mass after Inguinal Hernia Repair: An Unresolved Treatment Dilemma
title_sort mobile intracardiac mass after inguinal hernia repair: an unresolved treatment dilemma
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4553172/
https://www.ncbi.nlm.nih.gov/pubmed/26351587
http://dx.doi.org/10.1155/2015/375089
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