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Eur J Cardiothorac Surg 2001;20:195
© 2001 Elsevier Science NL

Images in cardio-thoracic surgery

Freely mobile right-sided atrial thrombus mimicking myxoma

Rolf Svedjeholma, Mats Broquistb, Bengt Wrannec,d

a Department of Cardiothoracic Surgery, Linköping Heart Center, University Hospital, Linköping, Sweden
b Department of Cardiology, Linköping Heart Center, University Hospital, Linköping, Sweden
c Department of Clinical Physiology, Linköping Heart Center, University Hospital, Linköping, Sweden
d Department of Thoracic Physiology, Karolinska Hospital, Stockholm, Sweden

Received 29 November 2000; received in revised form 3 April 2001; accepted 3 April 2001.

Corresponding author. Tel.: + 46-13-222000; fax: +46-13-100246
e-mail: rolf.svedjeholm{at}lio.se

Key Words: Atrium • Myxoma • Thrombus • Echocardiography

During operation for ‘suspected myxoma’ in an 86-year-old man a freely mobile old thrombus 3 cm in diameter was removed from the right atrium. The postoperative course was uneventful and 3 years later the patient is doing well (Figs. 1 and 2) . The case illustrates the advisability of preparedness for alternative diagnosis in surgery for ‘right-sided atrial myxoma’.



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  		Fig. 1. Preoperative transoesophageal echocardiography revealed a rounded markedly mobile mass in the right atrium.

 


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  		Fig. 2. The old thrombus that was removed from the right atrium.

 




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