Document Detail

A giant, free-floating mass in the left atrium in a patient with atrial fibrillation.
MedLine Citation:
PMID:  21940296     Owner:  NLM     Status:  MEDLINE    
A large intracardiac mass is a rare condition and one with an extremely high risk of haemodynamic and embolic complications. Urgent surgical excision is the treatment of choice, and the histological examination reveals the exact nature of the mass, usually a myxoma or a thrombus. We present the case of an 80-year-old woman, with a history of atrial fibrillation, who was admitted because of a seriously impaired level of consciousness, and fever. A large cerebral infarct and a urinary tract infarction were diagnosed. On the transthoracic echocardiogram a giant, free-floating mass was detected in the left atrium, transiently obstructing the mitral valve orifice. Based on the features of the mass and patient's history, it was considered more likely to be a thrombus rather than a tumour. Given the patient's extremely unfavourable neurological status, cardiac surgery was considered to be contraindicated and the patient was administered unfractionated heparin intravenously. Unfortunately, after a few hours the patient suffered a cardiac arrest and died.
Apostolos T Kakkavas; Michalis K Fosteris; Pavlos N Stougiannos; Athanasios K Paschalis; Anastasia N Damelou; Athanasios G Trikas
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Hellenic journal of cardiology : HJC = Hellēnikē kardiologikē epitheōrēsē     Volume:  52     ISSN:  2241-5955     ISO Abbreviation:  Hellenic J Cardiol     Publication Date:    2011 Sep-Oct
Date Detail:
Created Date:  2011-09-23     Completed Date:  2012-01-25     Revised Date:  2013-08-07    
Medline Journal Info:
Nlm Unique ID:  101257381     Medline TA:  Hellenic J Cardiol     Country:  Greece    
Other Details:
Languages:  eng     Pagination:  462-5     Citation Subset:  IM    
Cardiology Department, HELPIS General Hospital, Athens, Greece.
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MeSH Terms
Aged, 80 and over
Atrial Fibrillation / complications*
Fatal Outcome
Heart Atria
Heart Diseases / complications*,  pathology
Thrombosis / complications*,  pathology

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