Mobile Intracardiac Mass After Inguinal Hernia Repair: An Unresolved Treatment Dilemma

Overview

Journal Case Rep Cardiol

Publisher Wiley

Specialty Cardiology & Vascular Diseases

Date 2015 Sep 10

PMID 26351587

Authors

Fahad Almehmadi

Mark Davis

Sheldon M Singh

Affiliations

Soon will be listed here.

Abstract

Right heart thrombi (RHT) are rare but well-described entity in literature. Their isolation has been considered as confirmatory for the diagnosis of venous thromboembolism (VTE). Even though their isolation aids the diagnosis, physicians are faced with a difficult management dilemma giving the paucity of data to support any treatment decision. We present a case of RHT in an 81-year-old man who presented to hospital with a large mobile right heart thrombus in transit seen on transthoracic echocardiogram (TTE). He was successfully treated with anticoagulation alone. This case highlights the importance of TTE in establishing the diagnosis and describes the interplay of factors influencing treatment decision.

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