Incidental Finding of a Large Right Atrial Thrombus in a Patient With Cerebral Lymphoma

Ayman R. Fath, Abdullah S. Eldaly, Amro Aglan, Kyle S. Varkoly, Roxana N. Beladi, Anup Solsi, Mary F. Hahn, John P. Karis, Sina Nafisi, Kevin Brady, Pallavi Bellamkonda, Dara N. Wakefield, William L. Clapp, Alexandra R. Lucas

Research output: Contribution to journalArticlepeer-review

Abstract

Right atrial (RA) masses are rare, challenging to diagnose, and potentially life-threatening with high mortality if untreated. We present a patient presenting with diffuse large B-cell lymphoma in the brain that was incidentally found to have a large RA mass. For a better definition of the RA mass, extensive workup using multimodality imaging including chest computed tomography, transthoracic echocardiography, transesophageal echocardiography, cardiac magnetic resonance imaging, and left heart catheterization was warranted. The imaging demonstrated a large RA mass extending through the tricuspid valve into the right ventricle and superior and inferior vena cava without a mobile component. The mass was then successfully resected, and further histology examination was performed to rule out lymphoma and rare subtypes of diffuse large B-cell lymphoma. The comprehensive workup proved the RA mass to be a calcified thrombus rather than a direct metastatic spread of lymphoma.

Original languageEnglish (US)
JournalJournal of Investigative Medicine High Impact Case Reports
Volume9
DOIs
StatePublished - 2021

Keywords

  • amorphous cardiac tumor
  • cerebral lesions
  • diffuse large B-cell lymphoma
  • right atrial mass
  • thrombosis

ASJC Scopus subject areas

  • Epidemiology
  • Safety, Risk, Reliability and Quality
  • Safety Research

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