Abstract:
:Echocardiographic diagnosis of atrial myxoma may not always be straightforward, and the distinction between myxoma and thrombi is not easy, especially when we observe a mass after successful surgery. Our report describes a 72-year-old woman who presented with right upper limb hemiparesis and was subsequently diagnosed as having transient ischemic attack due to a left atrial myxoma. One month after successful surgical resection of the tumor, the patient developed left-sided weakness. Echocardiography revealed a left atrial mass attached to the interatrial septum. Intravenous heparin was administered as a therapeutic trial for postoperative thrombi, which resulted in a decrease in mass size within a week. Anticoagulation with warfarin was continued, and complete resolution was demonstrated on a 4-month follow-up transesophageal echocardiography. This case highlights the fact that thrombus formation at the surgical site should be considered an unusual but potential complication after surgical resection of left atrial myxomas.
journal_name
Korean Circ Jjournal_title
Korean circulation journalauthors
Park H,Jo S,Cho YK,Kim J,Cho S,Kim JH,Jeong YJ,Song JKdoi
10.4070/kcj.2016.46.6.875subject
Has Abstractpub_date
2016-11-01 00:00:00pages
875-878issue
6eissn
1738-5520issn
1738-5555journal_volume
46pub_type
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