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Related Concept Videos

Venous Thrombosis I: Introduction01:30

Venous Thrombosis I: Introduction

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Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
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Pulmonary Embolism I: Introduction01:29

Pulmonary Embolism I: Introduction

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Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
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Mitral Stenosis II: Clinical features and Diagnostic Tests01:23

Mitral Stenosis II: Clinical features and Diagnostic Tests

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Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
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Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies01:20

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

31
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
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Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

51
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
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Cardiomyopathy III: Hypertrophic Cardiomyopathy01:29

Cardiomyopathy III: Hypertrophic Cardiomyopathy

45
Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
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Related Experiment Video

Updated: Sep 7, 2025

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

Keywords:
benign cardiac tumorcardiac masscardiac myxomacardiac thrombuscardiac tumor in adultspulmonary embolism (pe)right ventriclethrombusventricular massventricular thrombus

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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.