Rapid Growth of Left Atrial Thrombus in a Pediatric Heart Transplant Recipient.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 33894179.
- Also identified by DOI 10.1016/j.athoracsur.2021.04.021.
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Abstract
We report on a 10-year-old female patient who rapidly developed a left atrial (LA) mass 2 months after orthotopic heart transplant. Nine days prior to detection of the mass, she received high-dose corticosteroids for acute cellular rejection (grade 2). Despite negative echocardiogram 5 days prior to detection, a large echogenic mass was noted in the LA (18 x 12 x 24 mm); it was surgically resected after unsuccessful anticoagulation treatment. Pathogenesis of this LA thrombus remains uncertain, but immunosuppression, acute rejection, and high-dose steroid therapy may have contributed. Surgical thrombectomy is a safe and effective treatment option for LA thrombus.
Medical subject headings
- Heart Diseases
- Heart Transplantation
- Thrombectomy
- Thrombosis
- Transplant Recipients