A rare myxoma-like right atrial thrombus causing syncope: A case report
Year: 2018
Type: article
Study design: Case Report
Abstract: RATIONALE: Syncope is a complicated clinical condition involving various diseases. Syncope due to myxoma-like right atrial thrombus is rarely seen in patient without structural heart disease. PATIENT CONCERNS: A 61-year-old ambulant old male visited our emergency department for sudden syncope. DIAGNOSES: After the exclusion of neurological and coronary diseases, a right atrial block mass with a stalk connected to the atrial septum was accidentally found by echocardiography. Pulmonary embolism was subsequently revealed by computed tomographic pulmonary angiography. Atrial myxoma was initially suspected and surgical removal was conducted. Surprisingly, histological examination showed that the pedicled block mass was actually thrombus. INTERVENTIONS: The myxoma-like right atrial thrombus and the emboli in the bilateral pulmonary trunks were resected. This patient received anticoagulant treatment with warfarin for 6 months additionally. OUTCOMES: The patient was successfully discharged and being continually followed. CONCLUSION: This patient had a past medical history of right femoral neck fracture, which might be responsible for the formation of the myxoma-like right atrial thrombus. We should always consider echocardiography examination in syncope patient at risk of thrombus formation.
Source: Medicine
Authors: Yuanyuan Yang, Zhenjie Gu
Language: English
Topic: Cardiac tumors and thrombi
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $1,950
OpenAlex ID: W2895035552