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Related Experiment Video

Updated: May 23, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques

Published on: June 11, 2019

Left atrial thrombus: a case report.

¹Carol Davila University of Medicine and Pharmacy, Ilfov Clinical Hospital, Internal Medicine Department, Bucharest Romania. camiluciemi@yahoo.com

Journal of Medicine and Life

|April 20, 2012

Summary

This summary is machine-generated.

A left atrial mass initially suspected to be a myxoma resolved with anticoagulation, suggesting it was a thrombus. This case highlights the importance of considering thrombi in atrial masses, especially in patients with atrial fibrillation.

Keywords:

anticoagulant.cardiac mass echocardiography

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Area of Science:

Cardiology
Diagnostic Imaging
Cardiovascular Medicine

Background:

Echocardiography is crucial for diagnosing cardiac masses.
Differentiating between myxomas and thrombi is critical for treatment decisions.

Observation:

A 70-year-old female with atrial fibrillation and heart failure presented with palpitations, dyspnea, and epistaxis.
Echocardiography revealed a mobile, heterogeneous mass in the left atrium attached to the interatrial septum.

Findings:

Transesophageal echocardiography confirmed the intra-atrial mass.
Following anticoagulation therapy for epistaxis, repeat echocardiography showed no residual mass.
The mass was presumed to be a left atrial thrombus, likely secondary to atrial fibrillation.

Implications:

This case underscores the potential for left atrial thrombi to resolve with anticoagulation.
It emphasizes the need to consider thrombus as a differential diagnosis for intra-atrial masses.
Effective management of atrial fibrillation is crucial in preventing such complications.