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Abstract
RÉSUMÉ
Les thrombi intra cavitaires, qui sont généralement découverts dans le cœur gauche, peuvent être dus à plusieurs causes. Nous rapportons un cas de masse de l’auricule droite qui avait été traitée comme thrombus intra cavitaire, chez une patiente porteuse d’un cancer du sein. Elle était suivi pour rechute locorégionale d’un cancer du sein gauche et était sous chimiothérapie. Lors de sa troisième séance de chimiothérapie, elle a présenté une tachycardie dont les investigations ont révélé la masse auriculaire droite. Un thrombus intra cavitaire peut être découvert au décours d’une séance de chimiothérapie. Un traitement par anticoagulant oral est efficace.
ABSTRACT
Intracavitary thrombi, which are usually discovered in the left heart, can be due to several causes. We report a case of a right atrial mass that had been treated as an intracavitary thrombus in a patient with breast cancer. She was being followed for locoregional relapse of left breast cancer and was on chemotherapy. During her third session, she presented with tachycardia, and investigations revealed the right atrial mass. An intracavitary thrombus can be discovered during a chemotherapy session. Treatment with oral anticoagulant is efficient.
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References
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- Ragland MM, Tak T. The role of echocardiography in diagnosing space-occupying lesions of the heart. Clin Med Res. mars 2006;4(1):22‑32.
- Hohmann C, Bunck AC, Pfister D, Michels G. Prominent right ventricular mass in a young patient with a history of classic testicular seminoma: a case report. Eur Heart J Case Rep. 9 janv 2019;3(1):yty167.
- Pinho T, Rodrigues-Pereira P, Araújo V, Oliveira NP, Macedo F, Graça A, et al. Cardiac metastasis of melanoma as first manifestation of disease. Rev Port Cardiol. mai 2009;28(5):633‑9.
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- Barrios D, Chavant J, Jiménez D, Bertoletti L, Rosa-Salazar V, Muriel A, et al. Treatment of Right Heart Thrombi Associated with Acute Pulmonary Embolism. The American Journal of Medicine. 1 mai 2017;130(5):588‑95.
- Boombhi JH, Touffic C, Menanga A, Hamadou B, Tchapmi D, Kingué S. Pulmonary Embolism with Free Floating Right Heart Thrombus at the Yaounde General Hospital. Health Sci Dis [Internet]. 30 avr 2019 [cité 7 sept 2022];20(3). Disponible sur: https://www.hsd-fmsb.org/index.php/hsd/article/view/1440
- Masson E. Les thromboses intracardiaques en médecine interne [Internet]. EM-Consulte. [cité 7 sept 2022]. Disponible sur: https://www.em-consulte.com/article/1122494/les-thromboses-intracardiaques-en-medecine-interne
- Falanga A, Marchetti M, Vignoli A. Coagulation and cancer: biological and clinical aspects. J Thromb Haemost. févr 2013;11(2):223‑33.
- De Cicco M. The prothrombotic state in cancer: pathogenic mechanisms. Critical Reviews in Oncology/Hematology. 1 juin 2004;50(3):187‑96.
- Kinney EL, Wright RJ. Efficacy of treatment of patients with echocardiographically detected right-sided heart thrombi: A meta-analysis. American Heart Journal. 1 sept 1989;118(3):569‑73.
- 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS) | European Heart Journal | Oxford Academic [Internet]. [cité 7 sept 2022]. Disponible sur: https://academic.oup.com/eurheartj/article/41/4/543/5556136?login=false
References
Falanga A, Marchetti M, Vignoli A. Coagulation and cancer: biological and clinical aspects. Journal of Thrombosis and Haemostasis. 2013;11(2):223‑33.
Ragland MM, Tak T. The role of echocardiography in diagnosing space-occupying lesions of the heart. Clin Med Res. mars 2006;4(1):22‑32.
Hohmann C, Bunck AC, Pfister D, Michels G. Prominent right ventricular mass in a young patient with a history of classic testicular seminoma: a case report. Eur Heart J Case Rep. 9 janv 2019;3(1):yty167.
Pinho T, Rodrigues-Pereira P, Araújo V, Oliveira NP, Macedo F, Graça A, et al. Cardiac metastasis of melanoma as first manifestation of disease. Rev Port Cardiol. mai 2009;28(5):633‑9.
Cheruvu B, Cheruvu P, Boyars M. An unusual case of metastasis to the left side of the heart: a case report. Journal of Medical Case Reports. 2011;5:23.
Barrios D, Chavant J, Jiménez D, Bertoletti L, Rosa-Salazar V, Muriel A, et al. Treatment of Right Heart Thrombi Associated with Acute Pulmonary Embolism. The American Journal of Medicine. 1 mai 2017;130(5):588‑95.
Boombhi JH, Touffic C, Menanga A, Hamadou B, Tchapmi D, Kingué S. Pulmonary Embolism with Free Floating Right Heart Thrombus at the Yaounde General Hospital. Health Sci Dis [Internet]. 30 avr 2019 [cité 7 sept 2022];20(3). Disponible sur: https://www.hsd-fmsb.org/index.php/hsd/article/view/1440
Masson E. Les thromboses intracardiaques en médecine interne [Internet]. EM-Consulte. [cité 7 sept 2022]. Disponible sur: https://www.em-consulte.com/article/1122494/les-thromboses-intracardiaques-en-medecine-interne
Falanga A, Marchetti M, Vignoli A. Coagulation and cancer: biological and clinical aspects. J Thromb Haemost. févr 2013;11(2):223‑33.
De Cicco M. The prothrombotic state in cancer: pathogenic mechanisms. Critical Reviews in Oncology/Hematology. 1 juin 2004;50(3):187‑96.
Kinney EL, Wright RJ. Efficacy of treatment of patients with echocardiographically detected right-sided heart thrombi: A meta-analysis. American Heart Journal. 1 sept 1989;118(3):569‑73.
2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS) | European Heart Journal | Oxford Academic [Internet]. [cité 7 sept 2022]. Disponible sur: https://academic.oup.com/eurheartj/article/41/4/543/5556136?login=false