Big thrombus "sitting" in an atrial septal aneurysm. Issue 9 (30th May 2017)

• Record Type: Journal Article
• Authors: Adauy, Julián Vega; Gabrielli, Luigi; Córdova, Samuel; Saavedra, Rodrigo; McNab, Paul
• Is Part Of: Echocardiography. Volume 34:Issue 9(2017)
• Page Start: 1396
• Page End: 1398
• Publication Date: 2017-05-30
• Subjects: atrial septal aneurysm -- left atrial mass -- three‐dimensional transesophageal echocardiography -- thrombus; Echocardiography -- Periodicals; Echocardiography -- Periodicals; 616.1207543
• DOI: 10.1111/echo.13574
• Languages: English
• ISSNs: 0742-2822

Abstract

Abstract : A 79 year‐old‐man presented three episodes of upper gastrointestinal bleeding and weight loss. Endoscopy revealed bleeding and extrinsic compression at the pyloric region. Computed tomography scan showed a pancreatic tumor, peritoneal carcinomatosis, vascular infiltration, and incidentally found a partially calcified hypodense lesion of 35 mm in the left atrium, suggesting a myxoma or a thrombus. Echocardiography revealed moderate left atrium enlargement, dilated left atrial appendage with spontaneous echo contrast, moderate dilatation and dysfunction of the left ventricle, ejection fraction was 39%, and an atrial septal aneurysm in which a piriform, mass of 35×33×25 mm, was "sitting, " suggesting an organized thrombus.