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MedPulse - International Medical Journal, ISSN 2348-2516 E-ISSN: 2348-1897
Volume 1, Issue 8, Aug 2014 pp 455-458
Case Report
Pulmonary embolism due to the right atrial thrombus mimicking atrial myxoma in protein C deficiency patient
G R Kane1, Shantanu Deshpande2, Somnath Mallakmir3, Mukesh Laddha4
1Professor, 2Associate Professor, 3Lecturer, 4Resident, Department of Cardiology, Padmshree Dr. D. Y. Patil Medical College, Nerul, Navi Mumbai-400703, Maharashtra, INDIA.
Abstract
Introduction: Atrial masses are uncommon, and mainly consist of tumours, vegetations and thrombi. Despite the availability of several imaging modalities, it may still be difficult to distinguish between them. Right atrial thrombi are rare but associated with high mortality. We describe a case of a large right atrial thrombus with pulmonary embolism, in a protein C deficient patient. Right atrial thrombus mimicked atrial myxoma on TEE examination. CT thorax with contrast demonstrated thrombosis in right pulmonary artery and its branches. Right atrial clot was successfully removed surgically and pulmonary embolism treated conservatively with full recovery of symptoms.
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