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Updated: Sep 7, 2025
06:29
Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
Published on: June 11, 2019
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Right Ventricular Thrombus Masquerading as a Tumor
Supraja Achuthanandan1, Chad L Harris1, Arafat A Farooqui1
1Internal Medicine, Maimonides Medical Center, Brooklyn, USA.
Cureus
|June 20, 2022
Summary
A large right ventricular mass, initially suspected as a cardiac tumor, was found to be a thrombus in a young man with a history of deep venous thrombosis. Early identification of intracardiac thrombi is crucial for better patient outcomes.
Area of Science:
- Cardiology
- Oncology
- Radiology
Background:
- Cardiac tumors are rare, often metastatic, and can be benign or malignant.
- Clinical presentation usually relates to the primary neoplasm.
- Intracardiac masses require careful differentiation due to imaging similarities.
Observation:
- A 36-year-old male presented with exertional dyspnea and a history of deep venous thrombosis.
- CT angiography revealed bilateral pulmonary emboli and a right ventricular hypodense opacity.
- Echocardiography confirmed a non-mobile right ventricular mass.
Findings:
- Surgical removal and subsequent pathology identified the mass as a thrombus.
- The large, smooth-surfaced mass mimicked a primary cardiac tumor.
- Imaging alone posed challenges in differentiating the mass.
Implications:
- Intracardiac thrombi should be considered in the differential diagnosis of cardiac masses.
- Prompt identification and treatment of intracardiac thrombi are vital for patient prognosis.
- Maintaining a high index of suspicion aids in timely intervention and improved outcomes.
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