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Document Details : Title: Massive right-sided cardiac thrombosis in Chagas’ heart disease without left ventricular dysfunction Author(s): R.B. Bestetti , H.A.R. Corbucci , A. Cardinalli-Neto Journal: Acta Cardiologica Volume: 66 Issue: 1 Date: 2011 Pages: 67-69 DOI: 10.2143/AC.66.1.2064969 Abstract : A 63-year-old woman with the diagnosis of mega-oesophagus secondary to chronic Chagas’ disease and no past cardiac history was referred for cardiac evaluation. The resting ECG showed right bundle-branch block, whereas a 2-D echocardiogram revealed marked right ventricular dilatation with hypokinesia, right atrial dilatation, normal pulmonary artery pressure, and normal left ventricular ejection fraction. A large, irregularly shaped mass, arising from the right atrium and protruding into the right ventricle through the tricuspid valve, with several different bizarre forms inside the right atrium during systole and/or diastole was seen on 2-D echocardiogram. Therefore, massive right-sided thrombosis can be detected in Chagas’ disease patients with no overt right- and left-sided ventricular failure. |
