Expecting the unexpected: right atrial mass in a transplant patient

Rayan Yousefzai, Setu Trivedi, Renuka Jain, Omar M. Cheema, John D. Crouch, Vinay Thohan, Bijoy K. Khandheria

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


We present a 71-year-old male, who had had a heart transplantation 24 years prior, who came to our clinic with a low-grade fever and a new II/VI holosystolic murmur. Echocardiography showed a large mass in the right atrium with attachment near the junction of the right atrium and superior vena cava. The patient was taken to the operating room for resection of the mass. Microscopic evaluation was consistent with thrombus. Differential diagnosis of cardiac masses after cardiac transplant includes tumour, thrombus, and vegetation. Final diagnosis can be challenging; multimodality imaging and biopsy or resection often are required for final diagnosis.

Original languageEnglish (US)
Pages (from-to)164-167
Number of pages4
JournalESC Heart Failure
Issue number4
StatePublished - Dec 2015


  • Atrium
  • Echocardiography
  • Transplantation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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