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Case Reports
. 2025 Mar 18;17(1):66-69.
doi: 10.34172/jcvtr.025.33140. eCollection 2025 Mar.

An unusual thrombus in a patient with arrhythmogenic cardiomyopathy

Sezgin Atmaca  1 , Arda Guler  1 , İrem Türkmen  1 , Sinem Aydın  2 , Songul Ustundag  3 , Gamze Babur Guler  1
Affiliations
Case Reports

An unusual thrombus in a patient with arrhythmogenic cardiomyopathy

Sezgin Atmaca et al. J Cardiovasc Thorac Res. .

Abstract

Herein we present a case of a right ventricular (RV) thrombus in a patient with arrhythmogenic cardiomyopathy (ACM). The 24-year old female patient was diagnosed with ACM after echocardiography, genetic test and cardiac magnetic resonance imaging. Interestingly, at echocardiography, an unusal thrombus formation was detected at RV lateral wall. Also, CMR confirmed the thrombus and oral anticoagulant therapy was started. During the patient's follow-ups, it was observed that the imaging consistent with the reported thrombus disappeared after effective anticoagulant treatment. After the diagnosis was confirmed with genetic tests, an implantable cardioverter-defibrillator (ICD) was implanted in the patient with a high sudden cardiac death (SCD) risk score. Even in arrhythmogenic right ventricular cardiomyopathy patients thrombi are rarely reported. However, the development of imaging techniques may enable more frequent detection and effective treatment of thrombi in these patients.

Keywords: Anticoagulants; Arrhythmogenic cardiomyopathy; Cardiomyopathy; Cardiovascular diseases; Echocardiography; Genetics; Thrombus.

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Conflict of interest statement

The authors have nothing to declare.

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