Multimodal characterization of a large right atrial mass after surgical repair of an atrial septal defect

Dmitry Nemirovsky, Sacha P. Salzberg, Andrew J. Einstein, Vivian M. Abascal, Eva Karlof, Javier Sanz, Sanjay Rajagopalan, Ira S. Nash, Farzan Filsoufi, David H. Adams

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

A 43-year-old woman with exertional dyspnea and a history of surgically repaired atrial septal defect was referred for a transthoracic echocardiogram, which demonstrated a large, mobile mass in her right atrium. The mass was further characterized with contrast transesophageal echocardiography (TEE) and delayed enhancement MRI, which together suggested a thrombus, attached to the eustachian valve and prolapsing through the tricuspid valve. The mass was resected and the diagnosis confirmed on histopathologic examination. This case illustrates the utility of a multimodal approach in characterizing cardiac masses.

Original languageEnglish
Pages (from-to)1117-1119
Number of pages3
JournalMount Sinai Journal of Medicine
Volume73
Issue number8
StatePublished - Dec 2006

Keywords

  • Atrial septal defect
  • Cardiac MRI
  • Cardiac mass
  • Eustachian valve
  • Imaging
  • Thrombus
  • Transesophageal echocardiography

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