title: Expecting the unexpected: right atrial mass in a transplant patient.
abstract: We present a 71-year-old male, who had had a heart transplantation 24 years prior, who came to our clinic with a low-grade fever and a new II/VI holosystolic murmur. Echocardiography showed a large mass in the right atrium with attachment near the junction of the right atrium and superior vena cava. The patient was taken to the operating room for resection of the mass. Microscopic evaluation was consistent with thrombus. Differential diagnosis of cardiac masses after cardiac transplant includes tumour, thrombus, and vegetation. Final diagnosis can be challenging; multimodality imaging and biopsy or resection often are required for final diagnosis.
authors: Aurora Cardiovascular Services Aurora Sinai/Aurora St. Luke's Medical Centers 2801 W. Kinnickinnic River Parkway, Ste. 840 Milwaukee WI 53215 USA.
authors: Rayan
authors: R
authors: Yousefzai
authors: Aurora Cardiovascular Services Aurora Sinai/Aurora St. Luke's Medical Centers 2801 W. Kinnickinnic River Parkway, Ste. 840 Milwaukee WI 53215 USA.
authors: Setu
authors: S
authors: Trivedi
authors: Aurora Cardiovascular Services Aurora Sinai/Aurora St. Luke's Medical Centers 2801 W. Kinnickinnic River Parkway, Ste. 840 Milwaukee WI 53215 USA.
authors: Renuka
authors: R
authors: Jain
authors: Aurora Cardiovascular Services Aurora Sinai/Aurora St. Luke's Medical Centers 2801 W. Kinnickinnic River Parkway, Ste. 840 Milwaukee WI 53215 USA.
authors: Omar M
authors: OM
authors: Cheema
authors: Aurora Cardiovascular Services Aurora Sinai/Aurora St. Luke's Medical Centers 2801 W. Kinnickinnic River Parkway, Ste. 840 Milwaukee WI 53215 USA.
authors: John D
authors: JD
authors: Crouch
authors: Aurora Cardiovascular Services Aurora Sinai/Aurora St. Luke's Medical Centers 2801 W. Kinnickinnic River Parkway, Ste. 840 Milwaukee WI 53215 USA.
authors: Vinay
authors: V
authors: Thohan
authors: Aurora Cardiovascular Services Aurora Sinai/Aurora St. Luke's Medical Centers 2801 W. Kinnickinnic River Parkway, Ste. 840 Milwaukee WI 53215 USA.
authors: Bijoy K
authors: BK
authors: Khandheria
keywords: Atrium; Echocardiography; Transplantation