Pediatric Intracardiac Thrombus: A Diagnostic and Therapeutic Dilemma

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This case highlights the challenges in treating children with intracardiac thrombosis.

We describe a teenager who developed an unsuspected de novo intracardiac thrombus. She was treated initially medically and surgically, but required subsequent surgery to treat a life-threatening recurrence. This case demonstrates an unusual presentation, as well as imaging, diagnostic, and therapeutic dilemmas. More significantly, it emphasizes the importance of a multidisciplinary approach for successful treatment of intracardiac thrombus.

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