Vol 74, Supp. III (2016)
Case studies
Published online: 2016-06-03

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Right ventricular thrombus successfully dissolved with novel oral anticoagulant therapy

Maciej T. Wybraniec, Magdalena Mizia, Jarosław Myszor, Katarzyna Mizia-Stec

Abstract

A 71-year-old asymptomatic female was admitted to the department of cardiology on account of incidental finding of a tumour- like mass located in the apex of right ventricle, which was revealed during contrast-enhanced computed tomography of the abdominal cavity. Transthoracic echocardiography showed hypoechogenic right ventricular mass (32 mm × 16 mm), suggestive of thrombus with hypokinesia of the surrounding right ventricular wall. Coronary artery disease, connective tissue disease and pulmonary embolism were excluded. Cardiac magnetic resonance imaging indicated the presence of hypo-intense mural thrombus, while repeated computed tomography confirmed stable size and character of the lesion. The anticoagulation therapy with novel oral anticoagulant (NOAC) was instituted. Following three months of treatment, the echocardiographic assessment confirmed complete disappearance of thrombus and resolution of regional wall motion abnormalities. The present case indicates that NOAC can be utilised as effective agents in case of incidental right ventricular mural thrombus, unrelated to pulmonary embolism.

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Polish Heart Journal (Kardiologia Polska)