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Serpentine-like right atrial mass and fulminant bilateral pulmonary embolism during treatment with rivaroxaban

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Abstract

Imaging work-up of a 80-year-old woman with sudden onset of dyspnea during current rivaroxaban therapy: computer tomography angiography revealed fulminant bilateral pulmonary embolism. Furthermore, a serpentine-like huge mass in the right atrium was detected, highly suggestive of thrombus or a giant chiari network, respectively. This case highlights the importance of adequate dose regimen of factor Xa inhibitors, as well as the need of thorough differential diagnostic considerations of net like structures in the right atrium.

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Reference

  1. Turpie AG, Kreutz R, Llau J, Norrving B, Haas S (2012) Management consensus guidance for the use of rivaroxaban—an oral, direct factor Xa inhibitor. Thromb Haemost 108(5):876–886

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Authors and Affiliations

  1. University Clinic of Radiology, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria

    Agnes Mayr & Gudrun Feuchtner

  2. University Clinic of Internal Medicine III, Cardiology and Angiology, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria

    Gert Klug & Bernhard Metzler

  3. Division of Cardiology, Robert Bosch Medical Center, Auerbachstrasse 110, 70376, Stuttgart, Germany

    Simon Greulich

Authors
  1. Agnes Mayr
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  2. Gert Klug
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  3. Simon Greulich
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  4. Bernhard Metzler
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  5. Gudrun Feuchtner
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Corresponding author

Correspondence to Agnes Mayr.

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Mayr, A., Klug, G., Greulich, S. et al. Serpentine-like right atrial mass and fulminant bilateral pulmonary embolism during treatment with rivaroxaban. Int J Cardiovasc Imaging 32, 1001–1002 (2016). https://doi.org/10.1007/s10554-016-0865-5

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  • DOI: https://doi.org/10.1007/s10554-016-0865-5

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