scholarly journals A Case of Intracardiac Thrombus in a Recovery Coronavirus Disease 2019 (COVID-19) Patient

Cureus ◽  
2022 ◽  
Author(s):  
William Lim ◽  
Swann Tin ◽  
May Breitling ◽  
Richard Grodman ◽  
Keith Diaz
Keyword(s):  
Intracardiac Thrombus

scholarly journals Multiple pericardial hematomas: a case report and mini-review in multimodality imaging

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Aninka Saboe ◽  
Ferdy Sanjaya ◽  
Raden Erwin Affandi Soeriadi ◽  
Euis Maryani ◽  
Nuraini Yasmin Kusumawardhani ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Cardiac Imaging ◽  
Single Photon ◽  
Multimodality Imaging ◽  
Photon Emission ◽  
Vena Cava ◽  
Intracardiac Thrombus ◽  
Surgical Closure ◽  
The Right

Abstract Background Pericardial hematoma is blood accumulation in the pericardial space. Although rare, it could arise in various conditions, such as after cardiac surgery. Clinical diagnosis of pericardial hematoma is implausible; thus, cardiac imaging plays a pivotal role in identifying this condition. We presented a case of multiple pericardial hematomas, which was found as an incidental finding in post-cardiac surgery evaluation. We highlighted the diagnostic challenge and the key features of multi-modality cardiac imaging in pericardial hematoma evaluation. Case presentation An asymptomatic, 35-years old male, who underwent surgical closure of secundum atrial septal defect (ASD) one month ago, came for routine transthoracic echocardiography evaluation. An intrapericardiac hematoma was visualized at the right ventricle (RV) 's free wall side. Another mass with an indistinct border was visualized near the right atrium (RA). This mass was suspected as pericardial hematoma differential diagnosed with intracardiac thrombus. Cardiac computed tomography (CT) scan showed both masses have an attenuation of 30–40 HU; however, the mass's border at the RA side was still not clearly delineated. Mild superior vena cava (SVC) compression and multiple mediastinal lymphadenopathies were also detected. These findings are not typical for pericardial hematomas nor intracardiac thrombus; hence another additional differential diagnosis of pericardial neoplasm was considered. We pursued further cardiac imaging modalities because the patient refused to undergo an open biopsy. Single-photon emission computer tomography (SPECT)/CT with Technetium-99 m (Tc-99 m) macro-aggregated albumin (MAA) and Sestamibi showed filling defect without increased radioactivity, thus exclude the intracardiac thrombus. Cardiac magnetic resonance imaging (MRI) reveals intrapericardial masses with low intensity of T1 signal and heterogeneously high intensity on T2 signal weighted imaged and no evidence of gadolinium enhancement, which concluded the diagnosis as subacute pericardial hematomas. During follow-up, the patient remains asymptomatic, and after six months, the pericardial hematomas were resolved. Conclusion Pericardial hematoma should be considered as a cause of pericardial masses after cardiac surgery. When imaging findings are atypical, further multi-modality cardiac imaging must be pursued to establish the diagnosis. Careful and meticulous follow-up should be considered for an asymptomatic patient with stable hemodynamic.

scholarly journals Concomitant acute pulmonary embolism, intracardiac thrombus and renal artery thrombosis in COVID-19 patient

2021 ◽  
pp. 100042
Author(s):  
Meriem Boui ◽  
Nabil Hammoune ◽  
Badr Slioui ◽  
Salah Bellasri ◽  
Salah Ben Elhend ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Renal Artery ◽  
Acute Pulmonary Embolism ◽  
Intracardiac Thrombus ◽  
Renal Artery Thrombosis ◽  
Artery Thrombosis

A rare but ominous association: Intracardiac thrombus and vegetation simultaneously in a hemodialysis patient

2010 ◽  
Vol 14 (3) ◽  
pp. 341-342
Author(s):  
Yalcin SOLAK ◽  
Mehmet TEKINALP ◽  
Huseyin ATALAY ◽  
Mehmet KAYRAK ◽  
Mehdi YEKSAN
Keyword(s):  
Hemodialysis Patient ◽  
Intracardiac Thrombus

Cost-Effectiveness of Echocardiography to Identify Intracardiac Thrombus among Patients with First Stroke or Transient Ischemic Attack

2007 ◽  
Vol 27 (2) ◽  
pp. 161-177 ◽  
Author(s):  
Richard T. Meenan ◽  
Somnath Saha ◽  
Roger Chou ◽  
Karleen Swarztrauber ◽  
Kathryn Pyle Krages ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Transient Ischemic Attack ◽  
Intracardiac Thrombus ◽  
Ischemic Attack

TRANSCORTICAL SENSORY APHASIA AS A MANIFESTATION OF ISCHEMIC STROKE WITH INTRACARDIAC THROMBUS

2021 ◽  
pp. 86-86
Author(s):  
Aziz Ahizoune ◽  
Ahmed Bourazza
Keyword(s):  
Language Impairment ◽  
Brain Mri ◽  
Semantic Knowledge ◽  
Sudden Onset ◽  
Left Middle Cerebral Artery ◽  
Intracardiac Thrombus ◽  
Auditory Comprehension ◽  
Sensory Aphasia ◽  
History Of ◽  
Left Middle

Transcortical sensory aphasia is characterized by impaired auditory comprehension, with intact repetition and uent speech. A 44-year-old right-handed patient with a history of hypertension on amlodipine and ischemic heart disease on aspirin was admitted to the neurology department for sudden onset of language impairment that started 2 days ago. The patient had features of transcortical sensory aphasia. Brain MRI showed an infarct in the territory of the left middle cerebral artery involving the tempo-parietal region. An apical thrombus was observed in the left ventricle on transthoracic echocardiography. This language impairment is thought to be caused by a disconnection between sensory language processes and semantic knowledge of objects. The prognosis is generally guarded and depends on the etiology and severity of the presentation

Detection Of Potentially Embolic Intracardiac Thrombus In Patients With Cerebral Ischaemia

1981 ◽  
Author(s):  
R M Donaldson ◽  
C Humphrey ◽  
R W Emanuel ◽  
C Earl
Keyword(s):  
Cerebral Ischaemia ◽  
Clinical Evidence ◽  
The Other ◽  
Intracardiac Thrombus ◽  
Cardiac Assessment ◽  
Patients At Risk ◽  
Group 2 ◽  
Histological Confirmation ◽  
A Prospective Study ◽  
Group 1

In a prospective study, 5 8 consecutive patients presenting clinically with transient or permanent focal cerebral ischaemia underwent cardiac assessment which included twodimensional echocardiography (2DE). All had been referred after neurological investigations failed to establish the underlying cause of the neurological event. 5 0 of these patients had no evidence of heart disease (Group 1); the other 28 patients had clinical evidence of an underlying cardiac abnormality or arrhythmia (Group 2). One of the patients in Group 1 had echocardiographic evidence of mitral valve prolapse; no cardiac pathology was visualised in the other 29 patients in this group. In 5 of the 28 patients from Group 2, intracardiac thrombus presumed responsible for the neurological manifestations was demonstrated by 2DE and histological confirmation obtained following surgery or at necropsy in 4 of these cases. No abnormality was found on 2DE in the other 23 patients. All acoustically dense thrombi were larger than 1.5 cm and had some degree of organisation. Two were recent, histologically showing red blood cells and mplatelet-fibrin columnation. The accoustical similarity of small thrombi to the surrounding blood or endocardium may hinder the sensitivity of the method.The technique may help to define patients at risk from embolisation. As intracardiac thrombi are a common and potentially an easily prevented cause of stroke,a 2DE screen should be undertaken in patients with arrhythmias or clinical evidence of cardiac disease who have experienced one or more episodes of cerebral ischaemia.

Human Thrombomodulin Transgene Expression Prevents Intracardiac Thrombus in Life Supporting Pig-to-Baboon Cardiac Xenotransplantation

2020 ◽  
Vol 39 (4) ◽  
pp. S145
Author(s):  
C.E. Goerlich ◽  
D. Kaczorowski ◽  
A. Singh ◽  
M. Abdullah ◽  
B. Lewis ◽  
...  
Keyword(s):  
Transgene Expression ◽  
Intracardiac Thrombus

scholarly journals P689 Surgical treatment of a right heart thrombus-in-transit with massive bilateral pulmonary embolism

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
C M Angelescu ◽  
I Hantulie ◽  
Z Galajda ◽  
I Mocanu ◽  
A T Paduraru ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Pulmonary Artery ◽  
Right Atrium ◽  
Intracardiac Thrombus ◽  
Severe Pulmonary Hypertension ◽  
Right Heart ◽  
Right Pulmonary Artery ◽  
The Right ◽  
In Transit ◽  
Right Heart Dysfunction

Abstract Introduction Right heart thrombi are rare, found in up to 20% of pulmonary emboli (PE), and associated with significantly increased mortality(1). A thrombus entrapped in a PFO is a rare form of right heart thromboembolism. Clinical Case A 73-year-old male patient who had dyspnea for 10 days, was transferred to our hospital for the surgical treatment of a cardiac tumor. We performed TTE which revealed a free floating, huge mass( measuring more than 8 cm long) in the right atrium, that protruded in the right ventricle, with high risk of embolization. Another smaller mass, attached to the interatrial septum. Severe right ventricular dysfunction and severe pulmonary hypertension were present. Contrast-enhanced computer tomography was performed, which revealed severe bilateral pulmonary artery emboli with complete occlusion of right pulmonary artery branch. Clinical and paraclinical data strongly suggested that the huge cardiac mass was a thrombus that originated from the lower extremity veins. TEE showed that the thrombus was entrapped through the PFO, with a smaller part in the left atrium and the biggest portion in the right atrium. The patient underwent an emergent on-pump surgical cardiac and right pulmonary artery embolectomy. The right atrium was opened and a huge intracardiac thrombus with a lengh of 14 cm extending from the coronary sinus, to PFO in the left atrium and also in the right ventricle was removed. The right branch of the pulmonary artery was opened and a large volume of clot- 9 cm long- was removed. The patient was removed from cardio-pulmonary by-pass (CPB) on high doses of norepinephrine and dobutamine and necessitated initiation of venous-arterial ECMO to support the severe right heart dysfunction. He was extubated after 10 days, with little improvement in the clinical status. Transthoracic echocardiography showed smaller right heart cavities), normal left ventricular function, but persistent severe RV dysfunction and severe pulmonary hypertension. In the thirteenth postoperative day, he installed cardio-respiratory arrest and he died. Discussion In this report we describe a case of a patient with a huge intracardiac thrombus, entrapped through a PFO, associated with massive pulmonary embolism, with late presentation in our hospital and severe refractory right heart dysfunction. He underwent successful embolectomy, which is a unique procedure in the treatment of an acute pulmonary embolism and entrapped thrombus in a PFO. Conclusion The treatment of choice for emboli-in-transit is controversial. In a recent review, surgical thromboembolectomy showed a trend toward improved survival and significantly reduced systemic emboli compared to anticoagulation. Thrombolysis in these patients may cause fragmentation of thrombus and systemic embolization, resulting in increased mortality. Management decisions should be made with multidisciplinary coordination and consideration of complicating factors such as PFO. Abstract P689 Figure. Extensive biatrial thrombus

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