title: Detecting Cardiac Sarcoidosis with a Right Atrial Mass Using Transthoracic Echocardiography.
abstract: An asymptomatic 40-year-old woman with a first-degree atrioventricular block presented a right atrial mass in transthoracic echocardiograms. Transesophageal echocardiograms showed abnormally thickened tissue on the interatrial septum, which extended around the aortic annulus. Multimodality examinations demonstrated lesions in the heart, lungs, liver, and spleen, suggesting sarcoidosis. She was diagnosed with cardiac sarcoidosis after we detected granulomas in a lung specimen. A right atrial mass shrunk following steroid therapy. We should therefore consider the possibility of cardiac sarcoidosis when we see wall thickening and a mass echo in the atrium. These signs may point to an early-phase lesion of cardiac sarcoidosis.
authors.affiliation: Department of Cardiology, Tenri Hospital, Japan.
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Takahashi
authors.forename: Chisato
authors.initials: C
authors.lastname: Izumi
authors.forename: Makoto
authors.initials: M
authors.lastname: Miyake
authors.forename: Seiko
authors.initials: S
authors.lastname: Nakajima
authors.forename: Shunsuke
authors.initials: S
authors.lastname: Nishimura
authors.forename: Maiko
authors.initials: M
authors.lastname: Kuroda
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Yoshikawa
authors.forename: Masashi
authors.initials: M
authors.lastname: Amano
authors.forename: Yukiko
authors.initials: Y
authors.lastname: Hayama
authors.forename: Sari
authors.initials: S
authors.lastname: Imamura
authors.forename: Naoaki
authors.initials: N
authors.lastname: Onishi
authors.forename: Yodo
authors.initials: Y
authors.lastname: Tamaki
authors.forename: Soichiro
authors.initials: S
authors.lastname: Enomoto
authors.forename: Toshihiro
authors.initials: T
authors.lastname: Tamura
authors.forename: Hirokazu
authors.initials: H
authors.lastname: Kondo
authors.forename: Kazuaki
authors.initials: K
authors.lastname: Kaitani
authors.forename: Yoshihisa
authors.initials: Y
authors.lastname: Nakagawa
mesh_terms: D000328:Adult; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage*; D054537:Atrioventricular Block / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology*; D009202:Cardiomyopathies / Q000175:diagnosis* / Q000188:drug therapy; D004452:Echocardiography; D005260:Female; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000473:pathology*; D006801:Humans; D011239:Prednisolone / Q000008:administration & dosage*; D012507:Sarcoidosis / Q000175:diagnosis* / Q000188:drug therapy; D016896:Treatment Outcome
chemical_list: D000893:Anti-Inflammatory Agents; D011239:Prednisolone