Pseudomyxoma originating from the interatrial septum in a heart transplant patient.
This report describes the echocardiographic diagnosis of an intracardiac mass in a heart transplant patient. The typical morphology of the lesions, its attachment to the interatrial septum, and the absence of a nidus focus for thrombus formation led to the preoperative assumption that it was a myxoma. The mass was successfully excised at the time of operation and the patient had an uneventful recovery. Pathology findings revealed a thrombus. Thus, echocardiography may have limited specificity for the differentiation of intracardiac tumors and thrombus.
Cedars-Sinai Medical Center, Los Angeles, California, USA.
Yoram
Y
Neuman
Kirsten
K
Tolstrup
Carlos
C
Blanche
Daniel
D
Luthringer
Sergio
S
Kobal
Takashi
T
Miyamoto
Huai
H
Luo
Robert J
RJ
Siegel
D003937:Diagnosis, Differential; D005260:Female; D006325:Heart Atria / Q000000981:diagnostic imaging*; D006331:Heart Diseases / Q000000981:diagnostic imaging* / Q000209:etiology*; D006338:Heart Neoplasms / Q000000981:diagnostic imaging / Q000209:etiology; D016027:Heart Transplantation / Q000009:adverse effects* / Q000000981:diagnostic imaging*; D006801:Humans; D008875:Middle Aged; D009232:Myxoma / Q000000981:diagnostic imaging / Q000209:etiology; D013927:Thrombosis / Q000000981:diagnostic imaging* / Q000209:etiology*; D014463:Ultrasonography