Biatrial myxoma resembling an interatrial clot in transit on echocardiogram.
A 47-year-old man had an embolic stroke. Transesophageal echocardiography showed biatrial, elongated, mobile masses that appeared interconnected via a patent foramen ovale. Echocardiography did not distinguish between an interatrial clot in transit and an atypical biatrial myxoma. Surgical resection and subsequent histopathologic examination identified the mass as a biatrial myxoma. This case identifies a limitation of echocardiography in the diagnosis of cardiac myxoma.
Umana
E
E
Division of Cardiology, University of South Alabama College of Medicine, Mobile, USA.
Alpert
M A
MA
Massey
C V
CV
Tucker
J A
JA
Damrich
M E
ME
D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D006325:Heart Atria / Q000000981:diagnostic imaging; D006331:Heart Diseases / Q000000981:diagnostic imaging*; D006338:Heart Neoplasms / Q000000981:diagnostic imaging*; D006344:Heart Septal Defects, Atrial / Q000000981:diagnostic imaging; D006801:Humans; D020766:Intracranial Embolism / Q000150:complications; D008297:Male; D008875:Middle Aged; D009232:Myxoma / Q000000981:diagnostic imaging*; D020521:Stroke / Q000209:etiology; D013923:Thromboembolism / Q000000981:diagnostic imaging*