Location, location, location: a left atrial mass.
A 58-year-old man admitted to the hospital with an acute stroke was found to have a left atrial mass attached to the interatrial septum via a stalk. Although initially thought to be a myxoma, the mass was pathologically proved to be a thrombus. Clues pointing to thrombus as the etiology were a history of atrial fibrillation, the absence of anticoagulation, an enlarged left atrium, and the presence of spontaneous echo contrast.
Chen
Michael A
MA
Harborview Medical Center, Seattle, WA 98104, USA. michen@u.washington.edu
Ahlgrim
Alicia A
AA
Allen
Camilla T
CT
D003937:Diagnosis, Differential; D006325:Heart Atria / Q000000981:diagnostic imaging*; D006331:Heart Diseases / Q000150:complications* / Q000000981:diagnostic imaging*; D006338:Heart Neoplasms / Q000150:complications / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D020521:Stroke / Q000000981:diagnostic imaging* / Q000209:etiology*; D013927:Thrombosis / Q000150:complications* / Q000000981:diagnostic imaging*; D014463:Ultrasonography