Journal of Indian Academy of Forensic Medicine
  • Year: 2018
  • Volume: 40
  • Issue: 4

Right atrio-ventricular thrombus masquerading as myxoma

  • Author:
  • Navneet Ateriya1,, Ashish Saraf2, Raghvendra Singh Shekhawat3, Puneet Setia4, Tanuj Kanchan5, Vikas Premlal Meshram3
  • Total Page Count: 4
  • Page Number: 437 to 440

1Senior Resident, Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Jodhpur

2Senior Resident, Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Jodhpur

3Assistant Professor, Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Jodhpur

4Additional Professor, Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Jodhpur

5Associate Professor, Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Jodhpur

*Corresponding Author: E-mail Id: dr.navneet06@gmail.com

Online published on 28 January, 2019.

Abstract

Intra-cardiac thrombus is an important pathological condition due to its potentially fatal complications. Thrombus in the right side of the heart is a relativley uncommon event and most are coincidentally discovered during the autopsy. Intra-cardiac causes of thrombus development include atrial fibrillation, valvular diseases, blood stasis in atrial appendages, pacemaker associated thrombosis, dilated cardiomyopathy, myocardial infarction, ventricular aneurysm, etc. The hemodynamic consequences of intra-cardiac mass such as thrombus, depend on its size and location; the most common hemodynamic disturbance is related to obstruction of the inflow-outflow tract and interference with the functioning of the atrio-ventricular valve. Therefore during autopsy sudden cardiac death as a cause of death should always be kept in mind in seemingly normal individuals.

We report a case of sudden cardiac death because of right atrio-ventricular thrombus in a young adult.

Keywords

Thrombus, Myxoma, Sudden cardiac death, Autopsy