Multimodal characterization of a large right atrial mass after surgical repair of an atrial septal defect.
A 43-year-old woman with exertional dyspnea and a history of surgically repaired atrial septal defect was referred for a transthoracic echocardiogram, which demonstrated a large, mobile mass in her right atrium. The mass was further characterized with contrast transesophageal echocardiography (TEE) and delayed enhancement MRI, which together suggested a thrombus, attached to the eustachian valve and prolapsing through the tricuspid valve. The mass was resected and the diagnosis confirmed on histopathologic examination. This case illustrates the utility of a multimodal approach in characterizing cardiac masses.
Nemirovsky
Dmitry
D
The Zena and Michael A. Wiener Cardiovascular Institute and the Marie-Josee and Henry R. Kravis Center for Cardiovascular Health, The Mount Sinai Medical Center, New York, NY, USA.
Salzberg
Sacha P
SP
Einstein
Andrew J
AJ
Abascal
Vivian M
VM
Karlof
Eva
E
Sanz
Javier
J
Rajagopalan
Sanjay
S
Nash
Ira S
IS
Filsoufi
Farzan
F
Adams
David H
DH
D000328:Adult; D017548:Echocardiography, Transesophageal; D005260:Female; D006338:Heart Neoplasms / Q000473:pathology* / Q000601:surgery; D006344:Heart Septal Defects, Atrial / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D013927:Thrombosis / Q000473:pathology / Q000601:surgery*