Multimodality imaging of giant prolapsing left atrial myxoma.
Through a case of a very large left atrial myxoma diagnosed in a 53-year old woman, we feature the complementary value of multimodality imaging. Two-dimensional echocardiography continues to be the principal imaging modality for intracardiac masses due to its accessibility and ability to provide basic information on mass morphology, position, and mobility. Real-time three-dimensional echocardiography offers more precise assessment of tumor size and attachment. Cardiac magnetic resonance allows superior tissue characterization, particularly important in differentiating a myxoma from a thrombus. Appropriate use of these various non-invasive imaging modalities is a safe and comprehensive preoperative diagnostic approach for patients with intracardiac masses.
Vivo
Rey P
RP
Methodist DeBakey Heart & Vascular Center, Houston, Texas, USA.
Krim
Selim R
SR
Dela Cruz
Jeffrey D
JD
Ramchandani
Mahesh
M
Shah
Dipan J
DJ
Little
Stephen H
SH
Zoghbi
William A
WA
D002315:Cardiopulmonary Bypass; D019560:Echocardiography, Three-Dimensional; D005260:Female; D054092:Foramen Ovale, Patent / Q000175:diagnosis; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000473:pathology; D006338:Heart Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006801:Humans; D033162:Incidental Findings; D019028:Magnetic Resonance Imaging, Cine; D008875:Middle Aged; D009232:Myxoma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D011237:Predictive Value of Tests; D013908:Thoracotomy; D016896:Treatment Outcome