Document Detail

Right atrial mass after primary repair of an atrial septal defect: thrombus masquerading as a myxoma.
MedLine Citation:
PMID:  17954102     Owner:  NLM     Status:  MEDLINE    
Atrial septal defects are among the most common congenital anomalies requiring surgical repair. Thrombus formation after patch-based repair is a recognized complication, usually manifested by an embolic event. However, thromboembolic complications after primary repair of atrial septal defects are exceedingly rare. We present a 38-year-old woman found to have a right atrial mass diagnosed as a myxoma by echocardiography and magnetic resonance imaging 3 years after primary atrial septal defect repair. However, final pathology revealed an organized thrombus. A review of the literature and clinical management of postoperative atrial thrombi are discussed.
Ahmad Y Sheikh; Sonja Schrepfer; William Stein; Joan West; Jane Lombard; Tom Burdon; Bob Pinsker; Marc P Pelletier
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  84     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2007 Nov 
Date Detail:
Created Date:  2007-10-23     Completed Date:  2007-11-08     Revised Date:  2009-05-26    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1742-4     Citation Subset:  AIM; IM    
Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, California 94305, USA.
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MeSH Terms
Diagnosis, Differential
Heart Atria / pathology
Heart Neoplasms / diagnosis*,  pathology
Heart Septal Defects, Atrial / surgery*
Magnetic Resonance Imaging
Myxoma / diagnosis*,  pathology
Postoperative Complications / diagnosis*,  pathology,  therapy
Thrombosis / diagnosis*,  pathology,  therapy
Comment In:
Ann Thorac Surg. 2009 Jun;87(6):2005; author reply 2005   [PMID:  19463656 ]
Ann Thorac Surg. 2008 Jun;85(6):2162; author reply 2162-3   [PMID:  18498858 ]

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