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Large inferior vena cava tumor with cardiac extension revealed by venous thrombembolism in a patient with complete situs inversus: what are the odds? Cover

Large inferior vena cava tumor with cardiac extension revealed by venous thrombembolism in a patient with complete situs inversus: what are the odds?

Romanian Journal of Cardiology
Volume 31 (2021): Issue 1 (March 2021)
By: Diana-Andreea Roscaneanu,  Ovidiu Mitu,  Daniela Crisu,  Radu-Stefan Miftode,  Mihai Stefan Cristian Haba and  Antoniu Octavian Petris  
Open Access
|Apr 2022

Figures & Tables

Figure 1

A. ECG with standard positioned left leads. B. ECG with precordial leads properly repositioned on the right: sinus tachycardia, 110 bpm, flattened T wave in DIII.
A. ECG with standard positioned left leads. B. ECG with precordial leads properly repositioned on the right: sinus tachycardia, 110 bpm, flattened T wave in DIII.

Figure 2

Transthoracic echocardiography right apical 4C view (poor accuracy due to dextrocardia): mass filling almost entirely the right atrium; LV hypertrophy.
Transthoracic echocardiography right apical 4C view (poor accuracy due to dextrocardia): mass filling almost entirely the right atrium; LV hypertrophy.

Figure 3

A. Thoracic CT arterial phase - axial view. Soft tissue mass occupying the right atrium almost completely, continued by thrombosis at the same level, with free right atrial appendage; pleural effusion. B. Abdominal CT venous phase - axial view. Filling defect of the IVC due to intraluminal non-homogeneous mass, with a diameter disproportionate larger than the aorta on the right (IVC largest diameter 53 mm); ascites.
A. Thoracic CT arterial phase - axial view. Soft tissue mass occupying the right atrium almost completely, continued by thrombosis at the same level, with free right atrial appendage; pleural effusion. B. Abdominal CT venous phase - axial view. Filling defect of the IVC due to intraluminal non-homogeneous mass, with a diameter disproportionate larger than the aorta on the right (IVC largest diameter 53 mm); ascites.

Figure 4

A. Abdominal CT venous phase - axial view. The mass descends in the renal segment, on both renal veins, infiltrating the left kidney with diminished peripheral renal parenchyma preserved. B. Abdominal and pelvic CT venous phase - coronal view. Tumor indicated by the red arrows. Appearance of an infiltrated subcutaneous adipose tissue at the abdominal wall and both thighs.
A. Abdominal CT venous phase - axial view. The mass descends in the renal segment, on both renal veins, infiltrating the left kidney with diminished peripheral renal parenchyma preserved. B. Abdominal and pelvic CT venous phase - coronal view. Tumor indicated by the red arrows. Appearance of an infiltrated subcutaneous adipose tissue at the abdominal wall and both thighs.
DOI: https://doi.org/10.47803/rjc.2021.31.1.85 | Journal eISSN: 2734-6382 | Journal ISSN: 1220-658X
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Language: English
Page range: 85 - 89
Published on: Apr 30, 2022
Published by: Romanian Society of Cardiology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Keywords:
IVC tumor,
Budd-Chiari syndrome,
right atrium thrombosis,
situs inversus,
venous thromboembolism
Related subjects:
Medicine,
Clinical medicine,
Internal medicine,
Cardiology,
Pediatrics and juvenile medicine,
Paediatric cardiology,
Surgery,
Cardiac surgery

© 2022 Diana-Andreea Roscaneanu, Ovidiu Mitu, Daniela Crisu, Radu-Stefan Miftode, Mihai Stefan Cristian Haba, Antoniu Octavian Petris, published by Romanian Society of Cardiology
This work is licensed under the Creative Commons Attribution 4.0 License.

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