Giant Left Atrium Associated with Massive Thrombus Formation 14 Years after Orthotopic Heart Transplantation

We report the case of a 60-year-old patient who underwent orthotopic heart transplant 14 years earlier. Routine echocardiography showed giant masses in the left atrium. There were no symptoms or thromboembolic events in the past. Magnetic resonance imaging study revealed very enlarged left atrium (8...

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Detalles Bibliográficos
Autores principales: Bartus, Krzysztof, Litwinowicz, Radoslaw, Kapelak, Boguslaw, Filip, Grzegorz, Wierzbicki, Karol, Lee, Randall J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Cirurgia Cardiovascular 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7731837/
https://www.ncbi.nlm.nih.gov/pubmed/33306328
http://dx.doi.org/10.21470/1678-9741-2018-0390
Descripción
Sumario:We report the case of a 60-year-old patient who underwent orthotopic heart transplant 14 years earlier. Routine echocardiography showed giant masses in the left atrium. There were no symptoms or thromboembolic events in the past. Magnetic resonance imaging study revealed very enlarged left atrium (8.7 × 10.6 cm) occupied by irregular smooth mass (7 × 5 × 6.1 cm) with a stalk that was attached to the posterior left atrial wall in the area of graft suture lines. Intraoperative examination revealed a massive thrombus (12 × 10 cm) that filled almost the entire left atrial area.

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