Unusual Echocardiographic Diagnosis of a Metastatic Thrombus - A Case Report
| Autor: | Meenakshi V Venketeswaran, Punitha Chockalingam, Kalpana Balakrishnan, Nivedhyaa Srinivasaraghavan |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment transesophageal echocardiogram intracardiac thrombus Transesophageal echocardiogram renal cell cancer Inferior vena cava Renal cell carcinoma medicine Diseases of the circulatory (Cardiovascular) system atrial fibrillation cardiovascular diseases Thrombus Tricuspid valve medicine.diagnostic_test business.industry Atrial fibrillation medicine.disease atriotomy Nephrectomy medicine.anatomical_structure medicine.vein RC666-701 cardiovascular system Radiology Transthoracic echocardiogram business transthoracic echocardiogram |
| Zdroj: | Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging, Vol 5, Iss 1, Pp 75-77 (2021) |
| ISSN: | 2543-1471 2543-1463 |
| Popis: | Renal cell carcinoma has high propensity for intravascular and lymphatic spread. In one percent of such cases, tumor can reach up to the right atrium. This case reports the postoperative tumor embolization in a patient with renal cell carcinoma. An elderly female underwent a left radical nephrectomy and inferior vena cava (IVC) thrombectomy. She developed atrial fibrillation on the sixth postoperative day following the surgery in the postoperative unit. A bedside transthoracic echocardiogram detected a migrating echo dense structure moving across the tricuspid valve. Following this, she underwent an urgent right atriotomy and extraction of the tumor thrombus through cardiopulmonary bypass. The occurrence of atrial fibrillation in this patient with renal cell cancer in the postoperative period could have possibly been trigerred by a tumor thrombus in the right atrium. |
| Databáze: | OpenAIRE |
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