Eggshell right atrial mass

Eggshell right atrial mass Most organized myocardial thrombi appear as a left atrial mass in patients with rheumatic mitral stenosis and atrial fibrillation. Right atrial thrombi in the absence of atrial fibrillation have been associated with amplatzer occluders for atrial septal defects. We present images of a patient with a thrombotic right atrial mass without any underlying risk factors.A 70‐year‐old female was referred for evaluation of a spherical, calcified mass seen on a routine chest X‐ray (arrow in Figure A). There was no history of atrial fibrillation, valvular disease, or previous cardiac surgery. Her physical examination was unremarkable and an electrocardiogram showed normal sinus rhythm. A transthoracic echocardiogram (TTE) showed a 4 × 3 × 2.5‐cm mobile right atrial mass (Figure B). A contrast‐enhanced computed tomography scan showed an extensively calcified right atrial mass (Figure C). A coronary angiogram showed an avascular mass without any coronary artery disease (Figure D). At the time of surgery, following initiation of cardiopulmonary bypass and cardiac arrest, the right atrium was opened and a 5 × 4 × 3‐cm eggshaped mass with a fibrous pedicle was noted to be attached to the interatrial septum inferior to the fossa ovalis. The mass was easily excised and the septum remained intact. The patient tolerated the procedure well http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Cardiac Surgery Wiley

Eggshell right atrial mass

Loading next page...
 
/lp/wiley/eggshell-right-atrial-mass-OnaYRIpYIW
Publisher
Wiley Subscription Services, Inc., A Wiley Company
Copyright
© 2018 Wiley Periodicals, Inc.
ISSN
0886-0440
eISSN
1540-8191
D.O.I.
10.1111/jocs.13537
Publisher site
See Article on Publisher Site

Abstract

Most organized myocardial thrombi appear as a left atrial mass in patients with rheumatic mitral stenosis and atrial fibrillation. Right atrial thrombi in the absence of atrial fibrillation have been associated with amplatzer occluders for atrial septal defects. We present images of a patient with a thrombotic right atrial mass without any underlying risk factors.A 70‐year‐old female was referred for evaluation of a spherical, calcified mass seen on a routine chest X‐ray (arrow in Figure A). There was no history of atrial fibrillation, valvular disease, or previous cardiac surgery. Her physical examination was unremarkable and an electrocardiogram showed normal sinus rhythm. A transthoracic echocardiogram (TTE) showed a 4 × 3 × 2.5‐cm mobile right atrial mass (Figure B). A contrast‐enhanced computed tomography scan showed an extensively calcified right atrial mass (Figure C). A coronary angiogram showed an avascular mass without any coronary artery disease (Figure D). At the time of surgery, following initiation of cardiopulmonary bypass and cardiac arrest, the right atrium was opened and a 5 × 4 × 3‐cm eggshaped mass with a fibrous pedicle was noted to be attached to the interatrial septum inferior to the fossa ovalis. The mass was easily excised and the septum remained intact. The patient tolerated the procedure well

Journal

Journal of Cardiac SurgeryWiley

Published: Jan 1, 2018

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Unlimited reading

Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.

Stay up to date

Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.

Organize your research

It’s easy to organize your research with our built-in tools.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve Freelancer

DeepDyve Pro

Price
FREE
$49/month

$360/year
Save searches from
Google Scholar,
PubMed
Create lists to
organize your research
Export lists, citations
Read DeepDyve articles
Abstract access only
Unlimited access to over
18 million full-text articles
Print
20 pages/month
PDF Discount
20% off