Demonstration of spiral CT scans and reconstructions of a right atrial myxoma with bilateral pulmonary tumor emboli and a coincidental benign mediastinal thymoma.
A very rare case of a right atrial myxoma with bilateral pulmonary tumor emboli and a coincidental benign mediastinal thymoma is reported. A 52-year-old male patient was admitted with complaints of a single episode of haemoptysis. Spiral CT scans has been performed, the data has been subjected to multiplanar reconstructions and 3-D imaging. They revealed the presence of right mediastinal, right atrial and bilateral intrapulmonary masses. The tumors were removed during cardiopulmonary bypass surgery without any complications. All masses appeared to be benign under histopathological and immunohistochemical examinations. This case has been reported since the simultaneous appearance of such masses is unusual and in order to demonstrate that multi-planar and 3-D reconstructions of spiral CT data can help to clarify the anatomical relationships of tumorous masses and there-by a benign etiology of the intracardiac mass has been inferred.
Seemann
M D
MD
Department of Diagnostic Radiology, Klinikum Grosshadern, University of Munich, Germany.
Brenner
P
P
D002315:Cardiopulmonary Bypass; D006338:Heart Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery; D006469:Hemoptysis; D006801:Humans; D007090:Image Interpretation, Computer-Assisted; D008175:Lung Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery; D008297:Male; D008479:Mediastinal Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery; D008875:Middle Aged; D009232:Myxoma / Q000000981:diagnostic imaging* / Q000601:surgery; D009378:Neoplasms, Multiple Primary / Q000000981:diagnostic imaging* / Q000601:surgery; D011655:Pulmonary Embolism / Q000150:complications / Q000000981:diagnostic imaging*; D013945:Thymoma / Q000000981:diagnostic imaging* / Q000601:surgery; D013953:Thymus Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery; D014057:Tomography, X-Ray Computed