Author, as appears in the article.: Jara-Palomares L; Serrano-Gotarredona M; Lopez-Haldón J; Rodriguez-Puras M; Bibiloni-Lage I; Ruiz-Solano E; Otero-Candelera R

Department: Medicina i Cirurgia

URV's Author/s: Porras Ledantes, Jose Antonio

Keywords: Thromboembolism Pulmonary embolism Myxoma Heart neoplasm Disease Cardiac myxomas Cardiac mass

Abstract: We report the case of a 28-year-old woman taking contraceptives diagnosed with pulmonary embolism with a mass in the right atrium demonstrated by trans-thoracic echocardiogram that was not recognized on a previous angio-CT. Initially, it was thought to be a thrombus, but trans-oesophageal echocardiography and cardiac MRI showed data suggestive of cardiac neoplasm. Pericardial effusion and adjacent myocardial wall thickening noted on trans-oesophageal echocardiography were reported as signs that supported the possibility of malignancy, although cardiac MRI did not show wall infiltration signs. On the contrary, it demonstrated enhancement, which excludes the thrombotic nature of the mass and supports the diagnosis of neoplasm. The patient underwent surgery and biopsy proved that the mass was a myxoma. While myxomas are the most common among primary cardiac tumors, its attachment to the atrium free wall, far from the inter-atrium septum, the bi-lobed shape and accompanying pericardial effusion were atypical.

Thematic Areas: Química Peripheral vascular disease Nutrição Medicina veterinaria Medicina ii Medicina i Internal medicine Interdisciplinar General medicine Farmacia Educação física Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Cardiology and cardiovascular medicine Biodiversidade Biochemistry (medical)

licence for use: https://creativecommons.org/licenses/by/3.0/es/

ISSN: 13403478

Author's mail: joseantonio.porras@urv.cat

Author identifier: 0000-0001-6418-1822

Record's date: 2023-02-22

Papper version: info:eu-repo/semantics/publishedVersion

Link to the original source: https://www.jstage.jst.go.jp/article/jat/18/9/18_9258/_article

Licence document URL: http://repositori.urv.cat/ca/proteccio-de-dades/

Papper original source: Journal Of Atherosclerosis And Thrombosis. 18 (9): 829-832

APA: Jara-Palomares L; Serrano-Gotarredona M; Lopez-Haldón J; Rodriguez-Puras M; Bibiloni-Lage I; Ruiz-Solano E; Otero-Candelera R (2011). Right atrium mass in a 28-year-old patient with pulmonary embolism taking contraceptives. Journal Of Atherosclerosis And Thrombosis, 18(9), 829-832. DOI: 10.5551/jat.9258

Article's DOI: 10.5551/jat.9258

Entity: Universitat Rovira i Virgili

Journal publication year: 2011

Publication Type: Journal Publications