Cardiac Thrombus as a Primary Manifestation of Polycythemia Vera

Bloechlinger, Stefan; Ingold, Ulrich

doi:10.4414/cvm.2010.01527

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Case Report

15 September 2010

4 Pages

Cardiac Thrombus as a Primary Manifestation of Polycythemia Vera

and

Department of Intensive Care Medicine and Department of Cardiology, University Hospital Bern, Inselspital, 3010 Bern, Switzerland

Cardiology Interlaken, Spital Interlaken, 3800 Unterseen, Switzerland

Author to whom correspondence should be addressed.

Cardiovasc. Med.2010, 13(9), 281;https://doi.org/10.4414/cvm.2010.01527

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Abstract

We report the case of a patient who became symptomatic with clinical signs of, predominantly, right sided heart failure caused by multiple pulmonary emboli from a large thrombus attached to the tricuspid valve, despite oral anticoagulation. Based on haematological findings and genetic testing, the diagnosis of polycythemia vera as underlying prothrombotic disease was established.

Keywords:

cardiac thrombus; echocardiography; cardiac MRI; polycythemia vera; JAK2; pulmonary embolism

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