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Rare disease
Right atrial mass in patient undergoing chemotherapy
  1. Louise Thompson1,
  2. Zeeshan Khawaja2,
  3. Katarzyna Dickinson3,
  4. Eric McWilliams3
  1. 1Department of Medicine for the Elderly, Conquest Hospital, The Ridge, St Leonards-on-Sea, East Sussex, UK
  2. 2Cardiology Department, St Thomas’ Hospital, London, UK
  3. 3Cardiology Department, Conquest Hospital, The Ridge, St Leonards-on-Sea, East Sussex, UK
  1. Correspondence to Dr Eric McWilliams, eric.mcwilliams{at}


A 58-year-old lady, with a Hickman line in situ for chemotherapy for invasive ductal breast carcinoma, presented with fever. Blood cultures grew coagulase negative staphylococci. Transoesophageal echocardiography revealed a mass in the right atrium in the region of the Eustachian apparatus. The Hickman line was removed and the patient was treated for right-sided endocarditis. However, the mass persisted after prolonged intravenous antibiotics and a decision was made to remove it surgically. Histology revealed organised thrombus. The differential investigation of a right atrial mass in this position is discussed.

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  • Competing interests None.

  • Patient consent Obtained.

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