Elongated inferior vena cava and intracardiac mass: Thrombus in-transit or metastasis

Blerina Asllanaj 1, *, Elizabeth Benge 1, Ryan Hafen 2 and Yi McWhorter 3

1 Department of Internal Medicine, HCA Healthcare, Mountain View Hospital, Las Vegas, NV, USA.
2 Department of Anesthesiology, HCA Healthcare, Mountain View Hospital, Las Vegas, NV, USA.
3 Department of Critical Care Medicine, HCA Healthcare, Mountain View Hospital, Las Vegas, NV, USA.
 
Case Study
World Journal of Advanced Research and Reviews, 2022, 17(01), 1304–1310
Article DOI: 10.30574/wjarr.2023.17.1.0925
 
Publication history: 
Received on 13 August 2022; revised on 17 September 2022; accepted on 19 September 2022
 
Abstract: 
Cardiac masses are rare entities categorized as either neoplastic or non-neoplastic. We present a case of cardiac mass from the inferior vena cava (IVC) extending to the right atrium, right ventricle and pulmonary artery that was diagnosed by computed tomography (CT), transthoracic echocardiography (TTE), and cardiovascular magnetic resonance (CMR) imaging. Differential diagnosis of a right atrial mass includes myxoma, thrombus, renal cell carcinoma and metastatic cardiac tumor. This case emphasizes the importance of multi-modal imaging during diagnostic work-up when a cardiac mass of unknown origin is present.
 
Keywords: 
Cardiac Mass; Inferior Vena Cava; Heparin; Echocardiogram
 
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