Case report of a 'snake thrombus' in the right heart: a rare finding on echocardiography.

ABSTRACT:

Background

A right heart thrombus originating from an inferior vena cava thrombosis (IVCT) is a rare entity. In accordance with venous thromboembolism (VTE), IVCT can be categorized as primary or secondary. Secondary ICVT can be the result of a predisposing hypercoagulable state and/or from external compression on the inferior vena cava (IVC) such as in case of malignancies. Renal cell carcinoma (RCC), amongst others, has been described in the context of secondary IVCT.

Case summary

An 80-year-old man was presented in our emergency department with complaints of dyspnoea and oedema. Echocardiography revealed a large snake-like thrombus in the IVC extending into the right atrium. Subsequent computed tomography resulted in a diagnosis of an RCC. The patient was considered to be

SUBMITTER: Bosman NAM 

PROVIDER: S-EPMC7891233 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature