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- Title
Big thrombus 'sitting' in an atrial septal aneurysm.
- Authors
Adauy, Julián Vega; Gabrielli, Luigi; Córdova, Samuel; Saavedra, Rodrigo; McNab, Paul
- Abstract
A 79 year-old-man presented three episodes of upper gastrointestinal bleeding and weight loss. Endoscopy revealed bleeding and extrinsic compression at the pyloric region. Computed tomography scan showed a pancreatic tumor, peritoneal carcinomatosis, vascular infiltration, and incidentally found a partially calcified hypodense lesion of 35 mm in the left atrium, suggesting a myxoma or a thrombus. Echocardiography revealed moderate left atrium enlargement, dilated left atrial appendage with spontaneous echo contrast, moderate dilatation and dysfunction of the left ventricle, ejection fraction was 39%, and an atrial septal aneurysm in which a piriform, mass of 35×33×25 mm, was 'sitting,' suggesting an organized thrombus.
- Subjects
GASTROINTESTINAL hemorrhage diagnosis; COMPUTED tomography; GASTROINTESTINAL hemorrhage; THROMBOSIS; TRANSESOPHAGEAL echocardiography
- Publication
Echocardiography, 2017, Vol 34, Issue 9, p1396
- ISSN
0742-2822
- Publication type
Article
- DOI
10.1111/echo.13574