title: Accurate localization and echocardiographic-pathologic correlation of tricuspid valve angiolipoma by intraoperative transesophageal echocardiography.
abstract: Angiolipoma (angiolipohamartoma) of the tricuspid valve (TV) is a rare tumor which may be occasionally misdiagnosed as right atrial (RA) myxoma. Transesophageal echocardiography (TEE) provides accurate information regarding the size, shape, mobility as well as site of attachment of RA tumors and is a superior modality as compared to transthoracic echocardiography (TTE). Correct diagnosis of RA tumors has therapeutic significance and guides management of patients, as myxomas are generally more aggressively managed than lipomas. We describe a rare case of a pedunculated angiolipoma of the TV which was misdiagnosed as RA myxoma on TTE and discuss the echocardiographic-pathologic correlates of the tumor as well as its accurate localization by TEE.
authors.affiliation: Department of Anesthesiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India. misrasatyajeet@gmail.com
authors.forename: Satyajeet
authors.initials: S
authors.lastname: Misra
authors.forename: Prabhat K
authors.initials: PK
authors.lastname: Sinha
authors.forename: Thomas
authors.initials: T
authors.lastname: Koshy
authors.forename: Samavedam
authors.initials: S
authors.lastname: Sandhyamani
authors.forename: Chandrabhanu
authors.initials: C
authors.lastname: Parija
authors.forename: Kirun
authors.initials: K
authors.lastname: Gopal
mesh_terms: D000328:Adult; D018206:Angiolipoma / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery*; D017548:Echocardiography, Transesophageal / Q000379:methods*; D005260:Female; D006338:Heart Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery*; D006801:Humans; D013223:Statistics as Topic; D025321:Surgery, Computer-Assisted / Q000379:methods*; D014261:Tricuspid Valve / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D018084:Ultrasonography, Interventional / Q000379:methods*