Michal Hulman, Panagiotis Artemiou, Stefan Durdik, Branislav Bezak, Andrej Domonkos, Eva Goncalvesova, Ivo Gasparovic
{"title":"Left Atrial Thrombus Mimicking Myxoma After Orthotopic Heart Transplantation: Is the Multimodality Imaging Always Sufficient?","authors":"Michal Hulman, Panagiotis Artemiou, Stefan Durdik, Branislav Bezak, Andrej Domonkos, Eva Goncalvesova, Ivo Gasparovic","doi":"10.21470/1678-9741-2024-0328","DOIUrl":null,"url":null,"abstract":"<p><p>We present a case of left atrial thrombus mimicking myxoma after orthotopic heart transplantation. Multimodality imaging established the diagnosis of atrial myxoma, and the patient was treated accordingly, but the definite diagnosis after surgical excision and histology showed left atrial thrombus. This report demonstrates the limitations of multimodality diagnosis in tumors with features highly suggestive of an atrial myxoma.</p>","PeriodicalId":72457,"journal":{"name":"Brazilian journal of cardiovascular surgery","volume":"40 6","pages":"e20240328"},"PeriodicalIF":1.2000,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Brazilian journal of cardiovascular surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.21470/1678-9741-2024-0328","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
We present a case of left atrial thrombus mimicking myxoma after orthotopic heart transplantation. Multimodality imaging established the diagnosis of atrial myxoma, and the patient was treated accordingly, but the definite diagnosis after surgical excision and histology showed left atrial thrombus. This report demonstrates the limitations of multimodality diagnosis in tumors with features highly suggestive of an atrial myxoma.