Right atrial mass after primary repair of an atrial septal defect: thrombus masquerading as a myxoma |
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Authors: | Sheikh Ahmad Y Schrepfer Sonja Stein William West Joan Lombard Jane Burdon Tom Pinsker Bob Pelletier Marc P |
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Affiliation: | a Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, California b Department of Cardiothoracic Surgery, El Camino Hospital, Mountain View, California c Department of Cardiovascular Disease, El Camino Hospital, Mountain View, California d Department of Anesthesiology, El Camino Hospital, Mountain View, California |
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Abstract: | Atrial septal defects are among the most common congenital anomalies requiring surgical repair. Thrombus formation after patch-based repair is a recognized complication, usually manifested by an embolic event. However, thromboembolic complications after primary repair of atrial septal defects are exceedingly rare. We present a 38-year-old woman found to have a right atrial mass diagnosed as a myxoma by echocardiography and magnetic resonance imaging 3 years after primary atrial septal defect repair. However, final pathology revealed an organized thrombus. A review of the literature and clinical management of postoperative atrial thrombi are discussed. |
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Keywords: | 20 |
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