title: The role of three-dimensional echocardiography in interventricular mass evaluation.
abstract: A young patient underwent a screening electrocardiogram (EKG) that suggested apical hypertrophic cardiomyopathy. Serial investigation with echocardiography showed a well-defined hyperechogenic mass involving the interventricular septal. To better define the lesion extension three-dimensional (3D) echocardiography was done and it demonstrated a mass invading the septal myocardium, involving the major part of the muscular portion. The findings were highly suggestive of a cardiac fibroma. A cardiac magetic resonance image (MRI) was also compatible with this diagnosis. In our case, 3D echo showed a high accuracy, proving to be a useful tool to determine the anatomy of the lesion, complementary to MRI, guiding best management strategy.
authors.affiliation: Cardiology Institute of Rio Grande do Sul, Porto Alegre, Brazil. marcelohaertel@gmail.com
authors.forename: Marcelo Haertel
authors.initials: MH
authors.lastname: Miglioranza
authors.forename: Tiago Luiz Luz
authors.initials: TL
authors.lastname: Leiria
authors.forename: José Carlos
authors.initials: JC
authors.lastname: Haertel
authors.forename: Maristela
authors.initials: M
authors.lastname: Winkler
authors.forename: Covadonga
authors.initials: C
authors.lastname: Fernández-Golfin
authors.forename: José Luis
authors.initials: JL
authors.lastname: Zamorano
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods; D002312:Cardiomyopathy, Hypertrophic / Q000175:diagnosis* / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D019560:Echocardiography, Three-Dimensional / Q000379:methods*; D004562:Electrocardiography / Q000379:methods; D005350:Fibroma / Q000175:diagnosis* / Q000601:surgery; D005500:Follow-Up Studies; D006338:Heart Neoplasms / Q000175:diagnosis* / Q000601:surgery; D006352:Heart Ventricles / Q000473:pathology* / Q000601:surgery; D006801:Humans; D019028:Magnetic Resonance Imaging, Cine / Q000379:methods; D008297:Male; D012380:Role; D016896:Treatment Outcome; D055815:Young Adult