title: Multimodality imaging of giant prolapsing left atrial myxoma.
abstract: 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.
authors.affiliation: Methodist DeBakey Heart & Vascular Center, Houston, Texas, USA.
authors.forename: Rey P
authors.initials: RP
authors.lastname: Vivo
authors.forename: Selim R
authors.initials: SR
authors.lastname: Krim
authors.forename: Jeffrey D
authors.initials: JD
authors.lastname: Dela Cruz
authors.forename: Mahesh
authors.initials: M
authors.lastname: Ramchandani
authors.forename: Dipan J
authors.initials: DJ
authors.lastname: Shah
authors.forename: Stephen H
authors.initials: SH
authors.lastname: Little
authors.forename: William A
authors.initials: WA
authors.lastname: Zoghbi
mesh_terms: 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