Giant Left Atrium Associated with Massive Thrombus Formation 14 Years after Orthotopic Heart Transplantation.
Krzysztof BartusRadoslaw LitwinowiczBoguslaw KapelakGrzegorz FilipKarol WierzbickiRandall J LeePublished in: Brazilian journal of cardiovascular surgery (2020)
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.
Keyphrases
- left atrial
- atrial fibrillation
- catheter ablation
- left ventricular
- left atrial appendage
- mitral valve
- magnetic resonance imaging
- vena cava
- inferior vena cava
- pulmonary artery
- computed tomography
- heart failure
- pulmonary hypertension
- single cell
- contrast enhanced
- coronary artery
- pulmonary arterial hypertension
- patients undergoing
- clinical practice
- pulmonary embolism
- contrast enhanced ultrasound
- ultrasound guided