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Updated: Oct 25, 2025

Chronic Thromboembolic Pulmonary Hypertension and Assessment of Right Ventricular Function in the Piglet
Published on: November 4, 2015
The curious case of a massive right heart thrombosis: a case report
Jessica Artico1, Manuel Belgrano2, Rossana Bussani3
1Cardiovascular Department, Azienda Sanitaria Universitaria Integrata and University of Trieste, Via Pietro Valdoni 7, 34100 Trieste, Italy.
Background:
Intraventricular masses are a relatively rare condition ranging from asymptomatic to potentially life-threatening situations.
Case Summary:
Herein, we report a case of a 49-year-old woman under investigation for a massive right ventricular (RV) mass who underwent complete investigation for possible differential diagnosis, in the suspect of RV tumour. Multimodality imaging with cardiac computed tomography and magnetic resonance imaging showed the presence of a massive thrombus partially obliterating the right ventricle. Surgical removal of the mass showed a large area of stratified thrombosis with an underlying area of endocardial fibrosis. The patient has been then discharged in good clinical condition and with lifetime oral anticoagulation.
Discussion:
Massive RV thrombosis is a rare yet potentially fatal condition. Invasive management is preferable and lifetime anticoagulation is required to reduce possible downstream thrombotic complications.
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