Abstract
We describe the case of a patient with an evolving left atrial cardiac mass associated
with pulmonary vein thrombosis. The patient presented no symptoms. Imaging follow-up
revealed increase in size despite rivaroxaban therapy. Operative resection was performed,
and pathological examination was compatible with pulmonary vein thrombus. This case
illustrates an unusual presentation of cardiac thrombus.
Résumé
Nous décrivons le cas d’un patient présentant une masse cardiaque évolutive à l’oreillette
gauche associée à une thrombose de veine pulmonaire. Le patient était asymptomatique.
Le suivi par imagerie a révélé une augmentation de la taille de la masse malgré un
traitement par le rivaroxaban. Une résection a été effectuée et les résultats de l’examen
pathologique concordaient avec la présence d’un thrombus dans une veine pulmonaire.
Ce cas illustre un tableau clinique inhabituel pour un thrombus cardiaque.
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References
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- Idiopathic pulmonary vein thrombus extending into left atrium: a case report and review of the literature.Case Rep Med. 2016; : 3528393
- Pulmonary vein thrombosis: a recent systematic review.Cureus. 2017; 9: e993
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Article info
Publication history
Published online: May 30, 2019
Accepted:
May 20,
2019
Received:
February 18,
2019
Footnotes
See page 1420.e3 for disclosure information.
Identification
Copyright
© 2019 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.