What’s that in the right atrium?

Tom Kai Ming Wang, Niels van Pelt

Abstract


We present an interesting case of a middle-aged male patient with recent diagnosis of diffuse large B-cell lymphoma, who underwent a staging CT scan that revealed hypoattenuated lesions in the right atrium initially suspicious of thrombi. They were not evidence on transthoracic echocardiography, but the transesophageal echocardiogram showed a large mobile mass infiltrating and extending the right atrium, interatrial septum and aortic root. This case further illustrates the excellent sensitivity and specificity of transesophageal echocardiography for intracardiac masses but also the importance of multimodality cardiac imaging to reach a diagnosis and guide management. 


Keywords


right atrium, tumor, transesophageal echocardiography, computed tomography

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References


Engberding R, Daniel WG, Erbel R, et al. Diagnosis of heart tumours by transesophageal echocardiography: a multicentre study in 154 patients. European Cooperative Study Group. Eur Heart J. 1993;14:1223-8.

Shewan LG, Coats AJS, Henein M. Requirements for ethical publishing in biomedical journals. International Cardiovascular Forum Journal 2015;2:2 DOI: 10.17987/icfj.v2i1.4.




DOI: https://doi.org/10.17987/icfj.v16i0.569

Copyright (c) 2019 Tom Kai Ming Wang, Niels van Pelt

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