An atrial mass: the value of echocardiographic three-dimensional reconstruction

Pellicori, P., Sherwi, N., Khaleva, O., Wong, K. and Cleland, J. G.F. (2012) An atrial mass: the value of echocardiographic three-dimensional reconstruction. Journal of Cardiovascular Medicine, 13(11), pp. 769-770. (doi: 10.2459/JCM.0b013e32834917ed) (PMID:21709575)

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An 88-year-old lady was referred to our Heart Failure Clinic with a history of 'occasional' breathlessness. Electrocardiography showed sinus rhythm and no other major abnormalities and N-terminal pro-B-type natriuretic peptide (NT-proBNP) was normal. Transthoracic echocardiography showed a non-dilated left ventricle with good systolic function. A bright and well-circumscribed, echogenic mass appeared inside a mildly dilated left atrium, visible in both parasternal and apical views. A three-dimensional echocardiographic reconstruction showed no mass within the left atrium; however, an extracardiac mass impinging its posterior wall was seen. Suspicion of an intrathoracic tumour was raised and cardiac magnetic resonance showed a hiatus hernia immediately adjacent to the left atrium. Care must be taken when evaluating masses in or close to the heart.

Item Type:Articles
Glasgow Author(s) Enlighten ID:Cleland, Professor John and Pellicori, Dr Pierpaolo
Authors: Pellicori, P., Sherwi, N., Khaleva, O., Wong, K., and Cleland, J. G.F.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Robertson Centre
Journal Name:Journal of Cardiovascular Medicine
Publisher:Lippincott, Williams & Wilkins
ISSN (Online):1558-2035

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