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Case Report
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| Right atrial thrombus derived from inferior vena cava after liver transplantation |
| Erdal Aktürk1, Jülide Yağmur2, Halil Ataş2, Necip Ermis2 Nusret Acikgoz2 Mehmet Cansel2 |
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1Adiyaman University, Faculty of Medicine, Department of Cardiology, Adiyaman/Turkey.
2Inonu University, Faculty of Medicine, Department of Cardiology, Malatya/Turkey. |
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doi:10.5348/ijcri-2012-07-152-CR-13
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Address correspondence to: Erdal Aktürk Cardiology Department Adiyaman/Turkey Phone: +0090 422 3410660, ext. 4500, Gsm: 5335480167 Fax: +0090 422 3412708 Email: erdalakturk@hotmail.com |
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| How to cite this article: |
| Aktürk E, Yağmur J, Ataş H, Ermis N, Acikgoz N, Cansel M. Right atrial thrombus derived from inferior vena cava after liver transplantation. International Journal of Case Reports and Images 2012;3(7):52–55. |
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Abstract
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Introduction:
Right-sided cardiac thrombi may develop due to secondary causes. Their incidence is very low and only a few case reports of right atrial (RA) thrombi exit in literature.
Case Report: We report the case of a 56-year-old patient with orthotopic liver transplantation (OLT) about six months back, who was admitted to our clinic with symptoms of worsening chest pain and shortness of breath. Two and three-dimensional transthoracic echocardiography (3DTTE) and transesophageal echocardiogram (TEE) showed a mobile right atrial thrombus 3.9×1.8 cm in size, traversing the right atrial cavity during the whole cardiac cycle. After one week of therapeutic anticoagulation, the thrombus began to shrink and after three weeks echocardiography confirmed no evidence of residual thrombus. Conclusion: In contrast to previously reported cases of massive RA thrombosis developing intraoperatively during OLT, in our case a RA thrombus developed six months after OLT. The right atrial thrombus was derived from inferior vena cava. | |
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Key Words:
Liver transplantation, Right atrial thrombus, Echocardiography
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Author Contributions:
Erdal Aktürk - Substancial contribution to the conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of data Jülide Yağmur - Substancial contribution to the conception and design, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of data Halil Ataş - Substancial contribution to the conception and design, Revising it critically for important intellectual content, Final approval of version to be published Necip Ermis - Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of version to be published Nusret Acikgoz - Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of data Mehmet Cansel - Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of data |
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Guarantor of submission:
The corresponding author is the guarantor of submission. |
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Source of support:
None |
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Conflict of interest:
Authors declare no conflict of interest. |
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Copyright:
© Erdal Aktürk et al. 2012; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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