[Spontaneous hematoma of the atrial wall].
The clinical signs of heart masses tend to be nonspecific, generally depending more on their repercussions on heart function caused by their location rather than on their type. Imaging techniques make it possible to limit the differential diagnosis of heart masses based on their location, morphology, and characteristics of echogenicity, density, or intensity, depending on the technique used to study them. We present the case of a woman with squeezing mid chest pain irradiating to her shoulder and positive cardiac markers in whom a left atrial mass was identified at echocardiography. This finding was confirmed at chest CT. The signs at chest CT were compatible with a mural hematoma and this diagnosis was confirmed after intraoperative biopsy.
Servicio de Radiodiagnóstico, Complejo Hospitalario Universitario A Coruña (CHUAC), A Coruña, España. Electronic address: a-iglesias@hotmail.com.
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Iglesias López
Servicio de Radiodiagnóstico, Complejo Hospitalario Universitario A Coruña (CHUAC), A Coruña, España.
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Rodríguez Pan
Servicio de Radiodiagnóstico, Complejo Hospitalario Universitario A Coruña (CHUAC), A Coruña, España.
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Pazos Silva
D000368:Aged; D005260:Female; D006325:Heart Atria; D006331:Heart Diseases / Q000000981:diagnostic imaging*; D006406:Hematoma / Q000000981:diagnostic imaging*; D006801:Humans; D014057:Tomography, X-Ray Computed