Cisico Stefano, Vacirca Sara R, Basso Cristina, Mangino Domenico
Cardiac Surgery Unit, Ospedale dell'Angelo Mestre, Venice, Italy.
Institute of Pathology, University of Padua Medical School, Padua, Italy.
J Card Surg. 2020 Mar;35(3):703-705. doi: 10.1111/jocs.14443. Epub 2020 Feb 4.
Cardiac calcified thrombus is a rare non-neoplastic cardiac mass that can present like an intra-cardiac tumor. The finding of a calcified thrombus in the inferior vena cava is described in patients with permanent central venous line or in presence of recurrent pulmonary embolism. The aim of the study is to describe a rare case of cardiac calcified thrombus in patient without comorbidities. We report an extremely unusual case of a 73 year-old woman with a calcified thrombus between the inferior cava and the atrium who was admitted to hospital for an incidental evidence of a heart neoformation mimicking a myxoma at an echocardiogram exam, totally asymptomatic performed as a screening test after thyroidectomy. Surgical removal of cardiac mass is fundamental both to achieve the correct diagnosis and to avoid thromboembolic risks or inferior vena cava occlusion. In a patient without serious comorbidities, surgical excision can be performed without major risks.
心脏钙化血栓是一种罕见的非肿瘤性心脏肿物，其表现可能类似心脏内肿瘤。在下腔静脉发现钙化血栓的情况在有永久性中心静脉导管的患者或复发性肺栓塞患者中有所描述。本研究的目的是描述一例无合并症患者的罕见心脏钙化血栓病例。我们报告了一例极为不寻常的病例，一名73岁女性，在下腔静脉和心房之间有一个钙化血栓，因甲状腺切除术后作为筛查检查进行的超声心动图检查偶然发现类似黏液瘤的心脏新生物而入院，患者完全无症状。手术切除心脏肿物对于获得正确诊断以及避免血栓栓塞风险或下腔静脉阻塞至关重要。对于无严重合并症的患者，手术切除可在无重大风险的情况下进行。
