A Massive Right Atrial Mass in Chronic Myelogenous Leukaemia: A Case Report and Literature Review

  • Juthipong Benjanuwattra Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, USA
  • Mahmoud Abdelnabi Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, USA; Cardiology and Angiology Unit, Clinical and Experimental Internal Medicine Dept., Medical Research Institute, Alexandria University, Alexandria, Egypt
  • Rubayat Rahman Department of Cardiology, Texas Tech University Health Sciences Center, Lubbock, Texas, USA
  • Leigh Ann Jenkins Department of Cardiology, Texas Tech University Health Sciences Center, Lubbock, Texas, USA

Keywords

Right atrial mass, chronic myelogenous leukaemia, histopathology

Abstract

Right atrial masses are rare and diagnosis can be difficult unless histopathological specimens are obtained. In addition, the clinical course is not well documented, thereby making diagnosis and management challenging. The mass can be associated with haemodynamic instability with the potential to cause obstructive shock and embolism. We present the case of a young woman with untreated chronic myelogenous leukaemia with a massive haemodynamically significant right atrial mass. The usefulness of multimodality imaging and a multidisciplinary approach for diagnosing and treating this condition is highlighted.

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References

  • Kassop D, Donovan MS, Cheezum MK, Nguyen BT, Gambill NB, Blankstein R, et al. Cardiac masses on cardiac CT: a review. Curr Cardiovasc Imaging Rep 2014;7(8):9281.
  • Lobo A, Lewis JF, Conti CR. Intracardiac masses detected by echocardiography: case presentations and review of the literature. Clin Cardiol 2000;23(9):702–708.
  • Paraskevaidis IA, Michalakeas CA, Papadopoulos CH, Anastasiou-Nana M. Cardiac tumors. ISRN Oncol 2011;2011:208929.
  • Heyer CM, Kagel T, Lemburg SP, Bauer TT, Nicolas V. Lipomatous hypertrophy of the interatrial septum: a prospective study of incidence, imaging findings, and clinical symptoms.Chest 2003;124(6):2068–2073.
  • Rangel-Hernández MA, Aranda-Fraustro A, Melendez-Ramirez G, Espínola-Zavaleta N. Misdiagnosis for right atrial mass: a case report. Eur Heart J Case Rep 2018;2(1):yty004.
  • Wu YY, Tang L, Wang MH. Leukemia and risk of venous thromboembolism: a meta-analysis and systematic review of 144 studies comprising 162,126 patients. Sci Rep 2017;7(1):1167.
  • Krishnegowda C, Chikkaswamy SB, Barthur A, Ananthakrishna R. Intracardiac mass in chronic myeloid leukemia. Echocardiography 2019;36(4):794–796.
  • Heit JA, Kobbervig CE, James AH, Petterson TM, Bailey KR, Melton LJ, 3rd. Trends in the incidence of venous thromboembolism during pregnancy or postpartum: a 30-year population-based study. Ann Intern Med 2005;143(10):697–706.
  • Egolum UO, Stover DG, Anthony R, Wasserman AM, Lenihan D, Damp JB. Intracardiac thrombus: diagnosis, complications and management. Am J Med Sci 2013;345(5):391–395.
  • Published: 2022-08-30

    Issue: 2022: Vol 9 No 8 (view)

    Section: Articles

    How to cite:
    1.
    Benjanuwattra J, Abdelnabi M, Rahman R, Jenkins LA. A Massive Right Atrial Mass in Chronic Myelogenous Leukaemia: A Case Report and Literature Review. EJCRIM 2022;9 doi:10.12890/2022_003499.