"Tumor vascularity" in left atrial thrombus demonstrated by selective coronary arteriography.
Coronary arteriography was performed during preoperative investigation of mitral valve disease in a 62-year-old woman. "Vascular puddles" arising from the left coronary artery were seen within a large filling defect in the left atrium, raising the suspicion of myxoma. At surgery, the filling defect proved to be partially organized thrombus. "Tumor vascularity" can be a feature of left atrial thrombus as well as myxoma.
D002932:Cineangiography; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D005260:Female; D006325:Heart Atria / Q000000981:diagnostic imaging; D006338:Heart Neoplasms / Q000000981:diagnostic imaging*; D006801:Humans; D008875:Middle Aged; D008946:Mitral Valve Stenosis / Q000000981:diagnostic imaging; D009232:Myxoma / Q000000981:diagnostic imaging*; D011651:Pulmonary Artery / Q000000981:diagnostic imaging; D013927:Thrombosis / Q000000981:diagnostic imaging*