Left atrial thrombus mimicking myxoma in a patient with hereditary hemorrhagic telangiectasia: Diagnostic and therapeutic dilemmas.

Negeen Shahandeh, Richard J Shemin, Justin P McWilliams, John M Moriarty, Ashley E Prosper, Jonathan M Tobis

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Article in Radiology case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed

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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Negeen ShahandehDivision of Cardiology, Department of Medicine, University of California Los Angeles, 650 Charles E. Young Drive South, A2-237 CHS, Los Angeles, CA 90095, USA.

Richard J SheminDepartment of Surgery, University of California Los Angeles, Los Angeles, CA, USA.

Justin P McWilliamsDivision of Interventional Radiology, Department of Radiological Sciences, University of California Los Angeles, Los Angeles, CA, USA.

John M MoriartyDivision of Interventional Radiology, Department of Radiological Sciences, University of California Los Angeles, Los Angeles, CA, USA.

Ashley E ProsperDepartment of Radiological Sciences, Thoracic and Diagnostic Cardiovascular Imaging, University of California Los Angeles, Los Angeles, CA, USA.

Jonathan M TobisDivision of Cardiology, Department of Medicine, University of California Los Angeles, 650 Charles E. Young Drive South, A2-237 CHS, Los Angeles, CA 90095, USA.

University of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hereditary hemorrhagic telangiectasia (HHT) is an autosomal dominant disorder characterized by the development of arteriovenous malformations. The arteriovenous shunts may result in high output heart failure, which predisposes to atrial dilatation and atrial fibrillation. Due to recurrent bleeding from epistaxis or the gastrointestinal tract, patients with HHT and atrial fibrillation are at high risk of bleeding if anticoagulated for stroke prevention. In this report, we present a case of a 74-year-old woman with a history of HHT and atrial fibrillation who developed a large left atrial thrombus that initially was thought to represent an atrial myxoma. The diagnosis was confirmed with cardiac magnetic resonance imaging, and the patient underwent surgical resection of the thrombus. This case demonstrates the role of different imaging modalities in the assessment of left atrial masses and presents an opportunity to review the data on safety of anticoagulation in patients with HHT.

Indexed as

Cardiac CTCardiac massCardiac MRIEchocardiographyHereditary hemorrhagic telangiectasia

Identifiers

PMID32874383

DOI10.1016/j.radcr.2020.07.050

PMCPMC7452037

OpenAlexW3057479769

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LicenceCC BY-NC-ND

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