Journal of the American Society of Echocardiography
Volume 23, Issue 4 , Pages 457.e1-457.e3 , April 2010

A Right Atrial Mass, Patent Foramen Ovale, and Indwelling Central Venous Catheter in a Patient With a Malignancy: A Diagnostic and Therapeutic Dilemma

References 

  1. McGee DC, Gould MK. Preventing complications of central venous catheterization. N Engl J Med. 2003;348:1123–1133
  2. Kowalski CM, Kaufman JA, Rivitz SM, Geller SC, Waltman AC. Migration of central venous catheters: implications for initial catheter tip positioning. J Vasc Interv Radiol. 1997;8:443–447
  3. Gilon D, Schechter D, Rein AJJT, Gimmon Z, Or R, Rozenman Y, et al. Asymptomatic right atrial masses are related to indwelling central venous catheter position: clinical relevance and possible mechanism or formation. Am Heart J. 1998;135:457–462
  4. Bozac EA, Taskin S, Gurcan O, Atasoy C, Ersoy Z, Erekul S, et al. Intracavitary cardiac metastasis and pulmonary tumor emboli of choriocarcinoma: The first case diagnosed and treated without surgical intervention. Gyn Onc. 2005;99:753–756
  5. Kishore AGR, Desai N, Nujek G. Choriocarcinoma presenting as intracavitary tumor in the left atrium. Int J Cardiol. 1992;35:405–407
  6. Dhawan S, Tak T. Left atrial mass: thrombus mimicking myxoma. Echocardiography. 2004;21:621–623
  7. Erentuğ V, Bozbuğa N, Erdoğan HB, Mataraci I, Akinci E. A right atrial thrombus mimicking cardiac tumor after atrial septal defect closure operation. Anadolu Kardiyol Derg. 2003;3:288
  8. Letsas K, Kounas S, Pappas L, Efremidis M, Kardaras F. Right atrial thrombosis mimicking myxoma in a patient with primary antiphospholipid syndrome. Minerva Cardioangiol. 2005;53:337–338
  9. Konishi H, Fukuda M, Kato M, Misawa Y, Fuse K. Organized thrombus of the tricuspid valve mimicking valvular tumor. Ann Thorac Surg. 2001;71:2022–2024
  10. Alam M, Sun I, Smith S. Transesophageal echocardiography evaluation of right atrial mass lesions. J Am Soc Echocardiogr. 1991;4:331–337
  11. Lynch M, Clements SD, Shanewise JS, Chen CC, Martin RP. Right-sided cardiac tumors detected by transesophageal echocardiography and its usefulness in differentiating the benign from the malignant ones. Am J Cardiol. 1997;79:781–784
  12. Asch FM, Bieganski SP, Panza JA, Weissman NJ. Real-time 3-dimensional echocardiography evaluation of intracardiac masses. Echocardiography. 2006;23:218–224
  13. Wertman BM, Goland S, Davidson RM, Siegel RJ. Right atrial and ventricular masses of unknown origin. J Am Soc Echocardiogr. 2008;21:776;e5-7
  14. Fuchs S, Pollak A, Gilon A. Central venous catheter mechanical irritation of the right atrial free wall: a cause for thrombus formation. Cardiology. 1999;91:169–172
  15. Roguin A, Reisner SA. Right atrial mass related to indwelling central venous catheters in patients undergoing dialysis. Eur J Echocardiogr. 2000;1:222–223
  16. Mollet NR, Dymarkowski S, Volders W, Wathiong J, Herbots L, Rademakers F, et al. Visualization of ventricular thrombi with contrast-enhanced magnetic resonance imaging in patients with ischemic heart disease. Circulation. 2002;106:2873–2876
  17. Attili AK, Gebker R, Cascade PN. Radiological reasoning: right atrial mass. AJR Am J Roentgenol. 2007;188:26–30
  18. Vargas-Beal F, Coulter S, Yendamuri S, Contreras A, Duncan JM. Right-to-left interatrial shunt with hypoxemia caused by a right atrial thrombus. Tex Heart Inst J. 2007;34:225–229
  19. Kinney EL, Wright RJ. Efficacy of treatment of patients with echocardiographically detected right-sided heart thrombi: a meta-analysis. Am Heart J. 1989;118:569

PII: S0894-7317(09)00849-9

doi: 10.1016/j.echo.2009.09.006

Journal of the American Society of Echocardiography
Volume 23, Issue 4 , Pages 457.e1-457.e3 , April 2010

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