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| Volume 73 Number 8 December 2006 |
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| Multimodal Characterization of a Large Right Atrial Mass after Surgical Repair of an Atrial Septal Defect | 1117-1119 |
Dmitry Nemirovsky, M.D.1, Sacha P. Salzberg, M.D.2, Andrew J. Einstein, M.D., Ph.D.1, Vivian M. Abascal, M.D.1, Eva Karlof, M.D.2, Javier Sanz, M.D.1, Sanjay Rajagopalan, M.D.1, Ira S. Nash, M.D.1, Farzan Filsoufi, M.D.2, and David H. Adams, M.D.1,2 |
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1The Zena and Michael A. Wiener Cardiovascular Institute and the Marie-Josée and Henry R. Kravis Center for Cardiovascular Health and 2Department of Cardiothoracic Surgery, The Mount Sinai Medical Center, New York, NY.
Address all correspondence to Andrew J. Einstein, M.D., Ph.D., Division of Cardiology, Columbia University Medical Center, 622 West 168th Street, PH 10-408, New York, NY 10032; e-mail: ae2214@columbia.edu
Accepted for publication June 2006.
Abstract
A 43-year-old woman with exertional dyspnea and a history of surgically repaired atrial septal defect was referred for a transthoracic echocardiogram, which demonstrated a large, mobile mass in her right atrium. The mass was further characterized with contrast transesophageal echocardiography (TEE) and delayed enhancement MRI, which together suggested a thrombus, attached to the eustachian valve and prolapsing through the tricuspid valve. The mass was resected and the diagnosis confirmed on histopathologic examination. This case illustrates the utility of a multimodal approach in characterizing cardiac masses.
Key Words
Cardiac mass, eustachian valve, atrial septal defect, imaging, transesophageal echocardiography, cardiac MRI
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