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European Journal of Echocardiography Advance Access originally published online on March 11, 2008
European Journal of Echocardiography 2008 9(3):415-416; doi:10.1093/ejechocard/jen023
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

Ockham's razor or Hickam's dictum: a right atrial mass following excision of left atrial myxoma

Yigal Abramowitz1,*, Gidon Perlman1, Eli Levy2, Ronen Beeri3, Tova Chajek-Shaul1 and David Leibowitz1

1 Department of Internal Medicine, Hadassah-Hebrew University Medical Center, Mount Scopus, Jerusalem 91240, Israel
2 Department of Cardio-Thoracic Surgery, Hadassah-Hebrew University Medical Center, Ein-Kerem, Jerusalem, Israel
3 Department of Cardiology, Hadassah-Hebrew University Medical Center, Ein-Kerem, Jerusalem, Israel

Received 3 November 2007; accepted after revision 18 November 2007; online publish-ahead-of-print 11 March 2008.

* Corresponding author. Tel: +972 2 5844520; fax: +972 2 5812754. E-mail address: yigalab{at}yahoo.com


  Abstract

We report a case of a 54-year-old man presenting with a right atrial mass 7 months after undergoing a left atrial myxoma excision surgery. The differential diagnosis included recurrent myxoma or thrombus. The patient underwent repeat open sternotomy on cardiopulmonary bypass. Histopathological evaluation of the mass revealed an organizing thrombus. This report is, to our knowledge, the first that demonstrates right atrial thrombus shortly following excision of left atrial myxoma.

Keywords: Atrial myxoma; Thrombus; Excision; Atrial mass


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