title: Multimodal characterization of a large right atrial mass after surgical repair of an atrial septal defect.
abstract: 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.
authors.affiliation: 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.
authors.forename: Dmitry
authors.initials: D
authors.lastname: Nemirovsky
authors.forename: Sacha P
authors.initials: SP
authors.lastname: Salzberg
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Einstein
authors.forename: Vivian M
authors.initials: VM
authors.lastname: Abascal
authors.forename: Eva
authors.initials: E
authors.lastname: Karlof
authors.forename: Javier
authors.initials: J
authors.lastname: Sanz
authors.forename: Sanjay
authors.initials: S
authors.lastname: Rajagopalan
authors.forename: Ira S
authors.initials: IS
authors.lastname: Nash
authors.forename: Farzan
authors.initials: F
authors.lastname: Filsoufi
authors.forename: David H
authors.initials: DH
authors.lastname: Adams
mesh_terms: 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*