PT  - JOURNAL ARTICLE
AU  - Mariana Martinho
AU  - Rita Calé
AU  - Filipa Ferreira
AU  - Helder Pereira
TI  - Large free-floating right atrial mass presenting as intermediate-high risk pulmonary embolism: is reperfusion a better definite strategy?
AID  - 10.1136/bcr-2022-249225
DP  - 2022 May 01
TA  - BMJ Case Reports
PG  - e249225
VI  - 15
IP  - 5
4099  - http://casereports.bmj.com/content/15/5/e249225.short
4100  - http://casereports.bmj.com/content/15/5/e249225.full
SO  - BMJ Case Reports2022 May 01; 15
AB  - We present a woman in her 60s diagnosed with an intermediate-high risk acute pulmonary embolism and a large, non-serpiginous right atrial (RA) mass. Conservative therapy with unfractionated heparin was started and further assessment of the mass with cardiac MRI suggested thrombus as the most likely diagnosis. Despite 1 month of anticoagulation, mass size remained stable and surgical RA embolectomy and left pulmonary endarterectomy was performed. Histopathology confirmed thrombus. The patient died 10 weeks after surgery.