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Case Reports

Right Atrial Mass After Primary Repair of an Atrial Septal Defect: Thrombus Masquerading as a Myxoma

^a Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, California
^b Department of Cardiothoracic Surgery, El Camino Hospital, Mountain View, California
^c Department of Cardiovascular Disease, El Camino Hospital, Mountain View, California
^d Department of Anesthesiology, El Camino Hospital, Mountain View, California

Accepted for publication May 29, 2007.

^_* Address correspondence to Dr Pelletier, Department of Cardiothoracic Surgery, Stanford University Medical Center, 300 Pasteur Dr, Falk CVRB, Stanford, CA 94305 (Email: marcp{at}stanford.edu).

Atrial septal defects are among the most common congenital anomalies requiring surgical repair. Thrombus formation after patch-based repair is a recognized complication, usually manifested by an embolic event. However, thromboembolic complications after primary repair of atrial septal defects are exceedingly rare. We present a 38-year-old woman found to have a right atrial mass diagnosed as a myxoma by echocardiography and magnetic resonance imaging 3 years after primary atrial septal defect repair. However, final pathology revealed an organized thrombus. A review of the literature and clinical management of postoperative atrial thrombi are discussed.

This article has been cited by other articles:

				F. Filsoufi, J. Chikwe, J. G. Castillo, and J. Sanz Multimodal Imaging Characterization of Intracardiac Thrombus and Myxoma Ann. Thorac. Surg., June 1, 2008; 85(6): 2162 - 2162. [Full Text] [PDF]

				A. Y. Sheikh and M. P. Pelletier Reply Ann. Thorac. Surg., June 1, 2008; 85(6): 2162 - 2163. [Full Text] [PDF]