TY - JOUR
AU - Mu, Yuming
AB - A 56-year-old male visited the clinic because of chest tightness and shortness of breath after exertion for 6 months. Physical examination revealed body temperature 36.3°C, pulse 76 beats/min, 20 breaths/min, and blood pressure 135/80 mmHg. Preoperative transthoracic echocardiography showed an irregular medium echo mass in the right atrium (Panel A). The size was about 42 × 26 mm; it swung along with the cardiac cycle, with a pedicle attached to the roof of the right atrium. The transesophageal echocardiography showed a cystic mass with intact envelope attached to the orifice of the inferior vena cava in the right atrium (Panel B; Video 1). Contrast perfusion imaging showed no perfusion within the mass (Panel C and D; Videos 2 and 3). Computerized tomography results revealed a heterogeneous high-density lesion at the orifice of the inferior vena cava in the right atrium (Panel E). No abnormal enhancement was observed (Panel F). The magnetic resonance imaging result showed a round-like short T2 signal near the inferior vena cava (Panel G and H). No obvious enhancement was noted. On intraoperative exploration of the right atrium, a cystic and solid mass (40 × 30 mm) was discovered (Panel I; Video 4), with a pedicle attached to the roof of the right atrium and a trophoblastic vessel. We also found that two small calcified-like plaques (tooth-sized) visible at the base (Panel J). Open in new tabDownload slide Finally, we obtained the postoperative pathological results (Panel K). The mass is a blood cysts and the solid component was an atherosclerotic plaque. The prognosis of the patient after the operation was favourable. Supplementary data are available at European Heart Journal - Cardiovascular Imaging online. Data availability No new data were generated or analysed in support of this research. Author notes Lina Guan and Lingpeng Tang contributed equally to this work. Conflict of interest: All authors have no conflict of interest. © The Author(s) 2022. Published by Oxford University Press on behalf of the European Society of Cardiology. All rights reserved. For permissions, please email: journals.permissions@oup.com. This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model) © The Author(s) 2022. Published by Oxford University Press on behalf of the European Society of Cardiology. All rights reserved. For permissions, please email: journals.permissions@oup.com.
TI - Case of cystic and solid mass in right atrium
JF - European Heart Journal - Cardiovascular Imaging
DO - 10.1093/ehjci/jeac238
DA - 2022-12-02
UR - https://www.deepdyve.com/lp/oxford-university-press/case-of-cystic-and-solid-mass-in-right-atrium-pyNybx23rJ
SP - e32
EP - e32
VL - 24
IS - 2
DP - DeepDyve
ER -