Wrist mass in a 93-year-old woman

Maznyczka, A. M., Valenti, D. and Byrne, J. (2018) Wrist mass in a 93-year-old woman. Heart, 104(5), 437. (doi: 10.1136/heartjnl-2017-311923) (PMID:28993425)

Abstract

Clinical introduction A 93-year-old woman presented electively for transaortic valve implantation (TAVI), for severe aortic stenosis. She had a history of hypertension and hypothyroidism, and she was taking clopidogrel, antihypertensives and levothyroxine. In preparation for her TAVI procedure she underwent coronary angiography 4 months previously. Her coronary angiogram revealed severe three vessel disease, however, the consensus from the multidisciplinary team meeting, at that time, was to manage the coronary disease medically. Physical examination revealed a large, non-tender swelling on the volar aspect of her wrist (figure 1). The swelling had progressively enlarged in size over the preceding 4 months. Duplex ultrasonography was performed, but was technically difficult. Turbulent bidirectional flow was seen within the wrist swelling, however the connecting tract from which the flow originated was not adequately visualised.

• Item Type: Articles
• Additional Information: Image challenge.
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Maznyczka, Dr Annette Marie
• Authors: Maznyczka, A. M., Valenti, D., and Byrne, J.
• College/School: College of Medical Veterinary and Life Sciences > School of Cardiovascular & Metabolic Health
• Journal Name: Heart
• Publisher: BMJ Publishing Group
• ISSN: 1355-6037
• ISSN (Online): 1468-201X
• Published Online: 12 February 2018