Mobile Intracardiac Mass after Inguinal Hernia Repair: An Unresolved Treatment Dilemma.
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.
Schulich Heart Center, Sunnybrook Health Sciences Center, University of Toronto, 2075 Bayview Avenue, Toronto, ON, Canada M4N 3M5 ; King Saud Bin Abdulaziz University of Health Sciences, Jeddah, Saudi Arabia.
Fahad
F
Almehmadi
Schulich Heart Center, Sunnybrook Health Sciences Center, University of Toronto, 2075 Bayview Avenue, Toronto, ON, Canada M4N 3M5.
Mark
M
Davis
Schulich Heart Center, Sunnybrook Health Sciences Center, University of Toronto, 2075 Bayview Avenue, Toronto, ON, Canada M4N 3M5.
Sheldon M
SM
Singh