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J Echocardiogr (2015) 13:116–117 DOI 10.1007/s12574-015-0254-4 IMAGES IN CARDIOVASCULAR ULTRASOUND 1 1 1 • • Silvio Nocco Laura Concas Rinaldo Aste Received: 21 April 2015 / Revised: 20 June 2015 / Accepted: 30 June 2015 / Published online: 14 July 2015 Japanese Society of Echocardiography 2015 A 67-year-old female came to our attention due to detec- these characteristics, urgent surgical intervention is nec- tion of atrial fibrillation. Transthoracic echocardiography essary to prevent embolism [2]. Accordingly, although the showed, in the left atrial side, at the level of the fossa patient had never had systemic embolic events, she was ovalis, a hyperechogenic, heterogeneous, sessile, well-ad- surgically treated after coronary angiogram. herent mass (area 2.9 cm ; size 18 9 20 mm) with irreg- Pathologic analysis revealed a 22 9 20 9 18 mm ular borders and modest mobility. From this neoformation arborizing atrial myxoma with a thin villous extension branched several extremely mobile offshoots, the longest (length 35 mm). The tumor had a glossy surface and was of which was threadlike with length of about 30 mm, hemorrhagic and friable, being composed of gelatinous engaging in diastole with the inflow tract of the left ven- tissue. Thrombotic formations were not
Journal of Echocardiography – Springer Journals
Published: Jul 14, 2015
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