Percutaneous left atrial cardiac biopsy with CT fluoroscopy guidance.
Percutaneous computed tomographic (CT) fluoroscopy-guided biopsy was performed to evaluate an intracardiac tumor located within the left atrium of a 72-year-old woman. Postinterventional follow-up was unproblematic and free of complications. Histopathologic examination revealed a high-grade cardiac sarcoma, and the patient underwent consecutive resection and radiation therapy. In general, percutaneous puncture of the heart must be considered hazardous. Under certain conditions (eg, broad-based tumor, advanced luminal mass, myocardial and/or pericardial infiltration), however, percutaneous CT-guided biopsy may be an appropriate alternative to transluminal catheter biopsy for the minimally invasive investigation of cardiac tumors.
Daliri
Armand
A
Department of Radiology and Nuclear Medicine, Klinikum Bad Hersfeld, Seilerweg 29, Bad Hersfeld, Germany.
Oehring
Katja
K
Moosdorf
Rainer G
RG
Franke
Folker E
FE
Kalinowski
Marc
M
Zahedi
Faramarz
F
Froelich
Jens J
JJ
D000368:Aged; D001706:Biopsy / Q000379:methods*; D003131:Combined Modality Therapy; D003287:Contrast Media; D003937:Diagnosis, Differential; D005260:Female; D005471:Fluoroscopy; D006325:Heart Atria / Q000000981:diagnostic imaging* / Q000473:pathology*; D006338:Heart Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology* / Q000628:therapy; D006801:Humans; D011677:Punctures; D015641:Radiography, Interventional; D012509:Sarcoma / Q000000981:diagnostic imaging* / Q000473:pathology* / Q000628:therapy; D014057:Tomography, X-Ray Computed
D003287:Contrast Media