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A Journal on Surgery

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Chirurgia 2011 February;24(1):33-6

language: English

Atrial thrombus or atrial myxoma?

Hamdan R. 6, Tohmeh A. 1, Asmar B. 2, Badaoui G. 3, Kassab R. 3, Salameh E. 3, Abou Jaoude S. 3, Massaad Y. 4, Smayra T. 5, Nassar P. 3, Kadri Z. 3

1 Department of Internal Medicine, Hotel Dieu de France Hospital, Beirut, Lebanon
2 Department of Cardiac Surgery, Hotel Dieu de France Hospital, Beirut, Lebanon
3 Department of Cardiology, Hotel Dieu de France Hospital, Beirut, Lebanon
4 Department of Cardiology, Georges Pompidou Hospital, Paris, France
5 Department of Radiology, Hotel Dieu de France Hospital, Beirut, Lebanon
6 Intensive Care Unit, Saint Antoine Hospital, Paris, France


Atrial thrombi is the most frequent cardiac mass, diagnosis is usually made with transthoracic and transesophageal cardiac echography. Distinguishing thrombus from other cardiac masses may be diffcult. We report the case of a giant left atrial thrombus with similar echographic features as myxoma in a 77-year-old woman with neglected atrial fibrillation, complicated by repetitive cerebral transient ischemic attacks and pulmonary embolism via left to right shunt through a patent foramen oval. The diagnosis was confirmed after surgery.

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