Nadir Kardiyak Kitle: Geç Tanı Konulan Dev İntrakardiyak Trombüs

Year 2015, Volume: 12 Issue: 1, 126 - 130, 15.04.2015

Mustafa Abanoz Deniz Demir , Ümit Halıcı Mustafa Kaplangöray Selçuk Baysal

Abstract

Atrial kitleler nadir görülmektedir ve bazen büyük trombüsler kardiyak tümörle karışabilir. İntrakardiyak
trombüs bulunduğu yere göre değişik semptom verir; trombüs sağ atriumda olduğunda pulmoner emboliye
neden olurken sol atriumda periferik arteryel emboli , strok'a ve ölüme bile neden olabilir. 56 yaşındaki bayan
hasta, kardiyak tümör ön tanısı ile opere edildi. Ancak kitlenin histopatolojik incelemesinde neoplastik
oluşum saptanmadı ve organize trombüse sekonder geliştiği belirlendi.

Keywords

Trombüs, Kardiyak Cerrahi işlemler, Nadir Hastalıklar

A Rare Cardiac Mass: Late Diagnosis of a Giant İntracardiac Thrombus

Abstract

Atrial masses are rarely seen and sometimes large thrombus could be mixed with cardiac tumors.
Intracardiac thrombus produces different symptoms according to the localization; when the thrombus is
localized in the right atrium, it causes pulmonary embolism, and when it is localized in the left atrium, it
causes peripheral arterial embolism, stroke, and even death. A 56-year-old female patient was operated on
with an initial diagnosis of a cardiac tumor. However,the neoplastic growth was not detected in the
histopathological examination of the mass and the removed tissue was fibroblastic connective tissue, which
developed secondary to the thrombus. 

Keywords

Thrombus, Cardiac Surgical Procedures, Rare Diseases

References

• 1-Tempe DK, Dutta D, Saigal D, Banerjee A. Mobile left atrial mass. Ann Card Anaesth. 2013 ;16(3):221-2. 2-Khalid U, Hirudayaraj P, Lakkis N, Tabbaa R. Left atrial thrombus mimicking a myxoma in a patient with systemic lupus erythematosus. Hellenic J Cardiol 2014; 55(2): 167-170 3-Karabulut A, İltimur K, Toprak N. Two mitral stenosis cases without anticoagulant therapy with signs of left atrial thrombus. Anadolu Kardiyol Derg 2004;4(2): 187- 188. 4-Birdane A, Göktekin Ö, Melek M, Doğan SM, Ata N. Mortal complication of mitral stenosis: floating thrombus in the left atrium. Anadolu Kardiyol Derg, 2003; 3 (4):376- 377. 5-Rajappa M, Sunil Roy TN, Raj A, Trehan V, Mallika V. D-Dimer assay as a non invasive test for the diagnosis of left atrial Thrombi in Indian patients with Rheumatic MS. African Health Sciences. 2013;13(3) 584-9. 6-Shanks M , Cujec B, Choy JB. Left atrial appendage thrombus in a patient in sinus rhythm with endocarditis and a severe aortic valve insufficiency. Can J Cardiol. 2008;24(10):70-2. 7- He J, Shen Z, Yu Y, Huang H, Ye W, Ding Y, Yang S. Criteria for determining the need for surgical treatment of tricuspid regurgitation during mitral valve replacement. J Cardiothorac Surg. 2012;25(7):27. 8-Saczkowski R, Malas T, de Kerchove L, El Khoury G, Boodhwani M. Systematic review of aortic valve preservation and repair. Ann Cardiothorac Surg. 2013;2(1):3-9. 9-Nicolaou N, Becker A, Mc Michael G, Nicolaou V. Giant atrial thrombus presenting as a tumor. Int J Surg Case Rep. 2013;4(1):62-4.