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Cardiac mass many years after heart transplantation-a case report

Lucia Dallapellegrina1,2, Edoardo Sciatti3, Enrico Vizzardi1,2

  • 1Cardiology Unit, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy.

Indian Journal of Thoracic and Cardiovascular Surgery
|September 2, 2022
PubMed

Insights

A rare case of late thrombus formation occurred in the neo-atrium after bi-atrial heart transplantation. This finding is unusual given the absence of atrial arrhythmia and prothrombotic medication use.

Area of Science:

  • Cardiology
  • Transplantation Surgery

Background:

  • The bi-atrial surgical technique for heart transplantation can lead to postoperative complications.
  • These include atrial dysfunction, sinus node issues, valvular problems, and atrial enlargement, increasing arrhythmia and thrombus risk.

Observation:

  • This report details an unusual case of very late thrombus formation.
  • The thrombus developed in the neo-atrium of a heart transplant recipient who underwent the bi-atrial technique.

Findings:

  • The patient had no history of atrial arrhythmia.
  • The patient had not taken any prothrombotic medications, making the thrombus formation noteworthy.

Implications:

  • This case highlights the potential for late complications even in the absence of typical risk factors.
  • Further research may be needed to understand the mechanisms of late thrombus formation in bi-atrial heart transplant recipients.

Keywords:
Bi-atrial techniqueBi-caval techniqueGiant neo-atriumHeart transplantationthrombus

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