AI Article Synopsis
- A 26-year-old man with a ball-shaped thrombus on his tricuspid valve successfully underwent surgery after being treated for IgA nephropathy and having a previous VSD closure.
- Preoperative echocardiography revealed the thrombus originated from the anterior leaflet of the valve, along with a small residual VSD, but no other complications were noted.
- Histological analysis confirmed the mass was an organized thrombus rather than a tumor, suggesting its formation could be linked to the residual shunt and/or prednisolone treatment.
Article Abstract
We report successful surgical management of a 26-year-old man with a ball-shaped thrombus of the tricuspid valve. He had been treated with prednisolone for IgA nephropathy and undergone surgical closure of an isolated ventricular septal defect (VSD). No symptoms, coagulative disorders, or pulmonary embolisms were found. Preoperative echocardiography showed a ball-shaped mass that had originated from the anterior leaflet of the tricuspid valve; it also revealed a small residual VSD. A histological examination revealed the mass to be an organized thrombus with no tumor components. This was a rare case of excision of an organized thrombus of the tricuspid valve. The findings suggest that the thrombus formation may have been associated with the small shunt and/or prednisolone.
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