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The Intracardiac Masses That Wouldn't Melt: Wrong Diagnosis or Wrong Treatment - A Case Report
Zaran A Butt1, Adam Freegrove2, Laura Murphy1
1Department of Cardiology, Mater Misericordiae University Hospital, Dublin, Ireland.
Abstract:
A 64-year-old woman with biventricular cardiomyopathy and a cardiac resynchronization device developed recurrent spontaneous sub-segmental pulmonary emboli. Large mobile intracardiac masses adherent to all three leads were detected and failed to regress with sequential trials of antithrombotic therapy. Surgical intervention was deemed high-risk. The masses were successfully aspirated percutaneously using the AlphaVac F1885 percutaneous mechanical aspiration system (AngioDynamics, Inc) under trans-esophageal and fluoroscopic guidance, which is the first reported use of this recently CE-marked device for extracting large right atrial masses in Europe. There was no evidence of recurrent masses at thirty-day follow-up. Histopathological analysis confirmed organized thrombi.
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