Related Experiment Video
Updated: Apr 4, 2026
Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
Published on: June 11, 2019
Mobile Intracardiac Mass after Inguinal Hernia Repair: An Unresolved Treatment Dilemma
Fahad Almehmadi1, Mark Davis2, Sheldon M Singh2
1Schulich Heart Center, Sunnybrook Health Sciences Center, University of Toronto, 2075 Bayview Avenue, Toronto, ON, Canada M4N 3M5 ; King Saud Bin Abdulaziz University of Health Sciences, Jeddah, Saudi Arabia.
Abstract:
Right heart thrombi (RHT) are rare but well-described entity in literature. Their isolation has been considered as confirmatory for the diagnosis of venous thromboembolism (VTE). Even though their isolation aids the diagnosis, physicians are faced with a difficult management dilemma giving the paucity of data to support any treatment decision. We present a case of RHT in an 81-year-old man who presented to hospital with a large mobile right heart thrombus in transit seen on transthoracic echocardiogram (TTE). He was successfully treated with anticoagulation alone. This case highlights the importance of TTE in establishing the diagnosis and describes the interplay of factors influencing treatment decision.
