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Echogenic mass in the right atrium after surgical ventricular septal defect closure: thrombus or tumour?

Published online by Cambridge University Press:  13 January 2010

Nicole de Winkel ,
Karen Becker  and
Manfred Vogt
Nicole de Winkel*
Affiliation:
Department of Pediatric Cardiology and Congenital Heart Disease, German Heart Centre Munich, Technische Universität München, Munich, Germany
Karen Becker
Affiliation:
Department of Pathology and Pathologic Anatomy, German Heart Centre Munich, Technische Universität München, Munich, Germany
Manfred Vogt
Affiliation:
Department of Pediatric Cardiology and Congenital Heart Disease, German Heart Centre Munich, Technische Universität München, Munich, Germany
*
Correspondence to: Dr Nicole de Winkel, Department of Pediatric Cardiology and Congenital Heart Disease, Technische Universität München, German Heart Centre Munich, Lazarettstraße 36, 80636 München, Germany. Tel: 00 49 8912183305; Fax: 00 49 8912183333; E-mail: [email protected]
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Abstract

We describe a neonate who presented with an echogenic mass in the right atrium 8 weeks after closure of ventricular and atrial septal defects. On a routine post operative check up after discharge, a mass was detected in the right atrium on echocardiography. As a thrombotic formation was suggested, lysis was started, in combination with the administration of unfractioned heparin. As there was no change in echogenicity or size of the mass, it was surgically excised. Histopathological examination revealed a myofibroblastic inflammatory tumour.

Keywords

Cardiac tumourmyofibroblastic inflammatory tumourintracardiac lesions
Type
Brief Reports
Information
Cardiology in the Young , Volume 20 , Issue 1 , February 2010 , pp. 86 - 88
Copyright
Copyright © Cambridge University Press 2010

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References

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