[Left atrial mass after heart transplantation. A clinical case and transesophageal echocardiographic diagnosis].
We report a clinical case of a 60 year old male patient with a orthotopic cardiac transplant, submitted to a transesophageal echocardiographic study. This semi-invasive study showed a mobile multi-lobulated mass of the left atria, related with the hyperplastic process of the surgical suture area and directly associated with the cardiac transplant procedure. We discuss the rarity of this benign case, the different forms of two-dimensional echocardiographic presentation of this type of lesions, the problems of non invasive diagnostic techniques, the risk and the prognostic value of these structures. We conclude that a longitudinal study in a larger number of cardiac transplant patients will be needed, in order to define better the clinical implications of these echocardiographic findings.
Esturau
R
R
Hospital General Gregório Marañon, Madrid, Espanha.
Azevedo
J
J
Hernandez
J M
JM
San Roman
D
D
Torrecilla
E
E
Garcia-Fernandez
M A
MA
D017548:Echocardiography, Transesophageal; D006325:Heart Atria / Q000000981:diagnostic imaging*; D006331:Heart Diseases / Q000000981:diagnostic imaging* / Q000209:etiology; D016027:Heart Transplantation / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000209:etiology; D013537:Sutures / Q000009:adverse effects*
Massa auricular esquerda pós-transplante cardíaco. Caso clínico e diagnóstico ecocardiográfico transesofágico.