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Acute heart failure from a rapidly progressing large tumor in the right atrium

  • I-Hsin Chang1
  • Lian-Jie Lin2
  • Ren-Chieh Wu1,3

1Department of Emergency Medicine, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, 970 Hualien, Taiwan

2Department of Otorhinolaryngology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, 970 Hualien, Taiwan

3Program in Pharmacology and Toxicology, Tzu Chi University, 970 Hualien, Taiwan

DOI: 10.22514/sv.2021.095

Submitted: 27 March 2021 Accepted: 20 April 2021

Online publish date: 26 May 2021

*Corresponding Author(s): Ren-Chieh Wu E-mail: uliwu@ms56.hinet.net

Abstract

The diagnosis and treatment of intracardiac mass are challenging for emergency physicians. Dyspnea is one of the most common chief complaints in ER among patients with rapidly progressed heart failure without significant medical history. Establishing such an unusual diagnosis based on dyspnea patients requires more evidence. We present a case of a patient who was diagnosed with a rapidly progressing right atrial mass.


Keywords

Cardiac mass; Right atrium tumor; Heart failure


Cite and Share

I-Hsin Chang,Lian-Jie Lin,Ren-Chieh Wu. Acute heart failure from a rapidly progressing large tumor in the right atrium. Signa Vitae. 2021.doi:10.22514/sv.2021.095.

References

[1] Yang Y, Gu Z. A rare myxoma-like right atrial thrombus causing syncope. Medicine. 2018; 97: e12546.

[2] Javanshir E, Sadat-Ebrahimi S, Parvizi R, Toufan M, Sate H. Giant mass but small symptoms; huge thrombosis in the right atrium originating from the superior vena cava and protruding to the right ventricle: a case report. Journal of Medical Case Reports. 2019; 13: 312.

[3] Torres C, Doukky R. Massive obliterative right heart thrombus presenting with near‐syncope. Echocardiography. 2019; 36: 1596–1597.

[4] Cisico S, Vacirca SR, Basso C, Mangino D. A rare case of a cardiac calcified thrombus originating from right atrium and inferior vena cava. Journal of Cardiac Surgery. 2020; 35: 703–705.


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