title: Late presentation of right atrial thrombus following bilateral lung transplant.
abstract: A right atrial mass was incidentally detected in an immunosuppressed 49-year-old woman 5 years after successful bilateral lung transplantation. The mass was surgically excised and found to be an organized thrombus. There was no clear mechanism for the de-novo thrombus formation. The potential mechanisms include immunosuppression-related thrombogenicity, transient pericarditis, and stasis of blood from persisting pulmonary hypertension.
authors.affiliation: 1 Department of Cardiothoracic Surgery, The Alfred Hospital, Prahran, Melbourne, Australia.
authors.forename: Pankaj
authors.initials: P
authors.lastname: Saxena
authors.affiliation: 2 Department of Cardiology, The Alfred Hospital, Prahran, Melbourne, Australia.
authors.forename: Nitesh
authors.initials: N
authors.lastname: Nerlekar
authors.affiliation: 1 Department of Cardiothoracic Surgery, The Alfred Hospital, Prahran, Melbourne, Australia.
authors.forename: Adam D
authors.initials: AD
authors.lastname: Zimmet
mesh_terms: D017548:Echocardiography, Transesophageal; D005260:Female; D006325:Heart Atria / Q000000981:diagnostic imaging; D006331:Heart Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D016867:Immunocompromised Host; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D016040:Lung Transplantation / Q000009:adverse effects*; D008875:Middle Aged; D012307:Risk Factors; D017131:Thrombectomy; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D007166:Immunosuppressive Agents
keywords: Heart atria; Immunosuppressive agents; Lung transplantation; Thrombosis