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Case Reports
. 2018 May-Aug;11(2):214-216.
doi: 10.4103/apc.APC_174_17.

Homocystinuria presenting as a calcified right atrial mass

Tahleel Altaf Shera  1 , Naseer Ahmed Choh  1 , Faiz Altaf Shera  1 , Azher Maqbool Khan  1
Affiliations
Case Reports

Homocystinuria presenting as a calcified right atrial mass

Tahleel Altaf Shera et al. Ann Pediatr Cardiol. 2018 May-Aug.

Abstract

Homocystinuria is a genetic inborn error of metabolism due to the deficiency of cystathionine β-synthase resulting in increased serum homocysteine and methionine and decreased cysteine which predisposes affected individuals to arterial and venous thromboembolic phenomena. We present a case of homocystinuria who presented to us as a calcified right atrial mass during the evaluation for lower respiratory tract infection. Our case reveals an unusual mix of findings using imaging with multiple detector computed tomography and radiographs.

Keywords: Calcified cardiac mass; cardiac thrombus; homocystinuria.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Computed tomography showing the calcified right atrial mass with a calcified tail extending into superior vena cava, bronchiectasis seen in the right middle lobe
Figure 2
Figure 2
Computed tomography showing bronchiectasis in both lower lobes, with adjacent consolidation on the left side
Figure 3
Figure 3
Diffuse osteopenia in radiograph of both hands
See this image and copyright information in PMC

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