Live/real time three-dimensional transthoracic echocardiographic findings in primary left atrial leiomyosarcoma.
We describe an adult patient with a primary left atrial leiomyosarcoma in whom live/real time three-dimensional transthoracic echocardiography showed echolucent areas within the mass consistent with necrosis or hemorrhage surrounded by dense band-like echo densities indicative of fibrosis or collagen giving a "doughnut" like appearance. These findings were consistent with histopathology, which showed areas of necrosis and dilated vascular channels within the fibrotic tumor. Our case further illustrates the usefulness of three-dimensional transthoracic echocardiography in characterizing the morphologic features of an intracardiac mass.
Suwanjutah
Thouantosaporn
T
Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, AL 35249, USA.
Singh
Harpreet
H
Plaisance
Benjamin R
BR
Hameed
Omar
O
Nanda
Navin C
NC
D019560:Echocardiography, Three-Dimensional; D017548:Echocardiography, Transesophageal; D006325:Heart Atria; D006338:Heart Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D006801:Humans; D007890:Leiomyosarcoma / Q000000981:diagnostic imaging* / Q000473:pathology; D008297:Male; D008875:Middle Aged