Left atrial thrombus due to transseptal catheterization simulating solid mass of right atrium

Abstract Background Transseptal catheterization has been popularized through ongoing advances in percutaneous procedures, but related complications are known to occur. Case presentation A 72 year-old female was admitted with left-sided weakness. In the course of various exams, a rounded and smooth-s...

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Main Authors: Jae Hang Lee, Ji-Hyun Kim, Jin-Ho Choi, Eung-Joong Kim
Format: Article
Language:English
Published: BMC 2017-09-01
Series:Journal of Cardiothoracic Surgery
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13019-017-0628-y
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author Jae Hang Lee
Ji-Hyun Kim
Jin-Ho Choi
Eung-Joong Kim
author_facet Jae Hang Lee
Ji-Hyun Kim
Jin-Ho Choi
Eung-Joong Kim
author_sort Jae Hang Lee
collection DOAJ
description Abstract Background Transseptal catheterization has been popularized through ongoing advances in percutaneous procedures, but related complications are known to occur. Case presentation A 72 year-old female was admitted with left-sided weakness. In the course of various exams, a rounded and smooth-surfaced solid mass of right atrium was identified. However, a septal aneurysm associated with left atrial mural thrombus was evident intraoperatively. Given that percutaneous transseptal mitral valvotomy had been done 7 years previously, a causal relationship is likely. Conclusions Prior cardiac intervention should be considered in patients presenting with mass lesions of interatrial septum.
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spelling doaj.art-ba0028c386b04368824bc294c59cec682022-12-21T17:17:57ZengBMCJournal of Cardiothoracic Surgery1749-80902017-09-011211410.1186/s13019-017-0628-yLeft atrial thrombus due to transseptal catheterization simulating solid mass of right atriumJae Hang Lee0Ji-Hyun Kim1Jin-Ho Choi2Eung-Joong Kim3Department of thoracic and cardiovascular surgery, Dongguk University Ilsan HospitalCardiovascular center, Dongguk University Ilsan HospitalDepartment of thoracic and cardiovascular surgery, Dongguk University Ilsan HospitalDepartment of thoracic and cardiovascular surgery, Dongguk University Ilsan HospitalAbstract Background Transseptal catheterization has been popularized through ongoing advances in percutaneous procedures, but related complications are known to occur. Case presentation A 72 year-old female was admitted with left-sided weakness. In the course of various exams, a rounded and smooth-surfaced solid mass of right atrium was identified. However, a septal aneurysm associated with left atrial mural thrombus was evident intraoperatively. Given that percutaneous transseptal mitral valvotomy had been done 7 years previously, a causal relationship is likely. Conclusions Prior cardiac intervention should be considered in patients presenting with mass lesions of interatrial septum.http://link.springer.com/article/10.1186/s13019-017-0628-yAtrial septumCatheterizationThrombusCardiac tumor
spellingShingle Jae Hang Lee
Ji-Hyun Kim
Jin-Ho Choi
Eung-Joong Kim
Left atrial thrombus due to transseptal catheterization simulating solid mass of right atrium
Journal of Cardiothoracic Surgery
Atrial septum
Catheterization
Thrombus
Cardiac tumor
title Left atrial thrombus due to transseptal catheterization simulating solid mass of right atrium
title_full Left atrial thrombus due to transseptal catheterization simulating solid mass of right atrium
title_fullStr Left atrial thrombus due to transseptal catheterization simulating solid mass of right atrium
title_full_unstemmed Left atrial thrombus due to transseptal catheterization simulating solid mass of right atrium
title_short Left atrial thrombus due to transseptal catheterization simulating solid mass of right atrium
title_sort left atrial thrombus due to transseptal catheterization simulating solid mass of right atrium
topic Atrial septum
Catheterization
Thrombus
Cardiac tumor
url http://link.springer.com/article/10.1186/s13019-017-0628-y
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AT jihyunkim leftatrialthrombusduetotransseptalcatheterizationsimulatingsolidmassofrightatrium
AT jinhochoi leftatrialthrombusduetotransseptalcatheterizationsimulatingsolidmassofrightatrium
AT eungjoongkim leftatrialthrombusduetotransseptalcatheterizationsimulatingsolidmassofrightatrium