Clot or Not?

Peretz-Larochelle, Maude; Blissett, Sarah; Lipes, Jed; Kovacina, Bojan; Afilalo, Jonathan; Rudski, Lawrence

doi:10.1016/j.case.2017.09.010

Cited by 1 publication

(2 citation statements)

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“…Primary cardiac tumors, cardiac metastases, vegetations, thrombi, fluid-filled lesions, and artifacts form the differential diagnosis for cardiac masses [ Table 1 ]. [ 6 , 7 ] Among them atrial myxomas show the most variability in shape and consistency. Right heart thrombi are often serpiginous, highly mobile, and associated with deep vein thrombosis and pulmonary embolism.…”

Section: Discussionmentioning

confidence: 99%

“…3D echocardiography (3DE) confirmed it to be a solitary, sessile mass; however, the 3D volume data set analysis showed that the mass had a heterogeneous, granular surface texture [ Figure 2 ], few irregular calcifications in crop plane view, and random small areas of echolucency, suggestive of a tumor rather than a thrombus [ Figure 3 and Video 1 ]. [ 6 ] Surgically excised mass pointed toward it being a myxoma [ Figure 4 ].…”

Section: Case Detailsmentioning

confidence: 99%

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Delineating thrombus versus myxoma: Perioperative 3D transesophageal echocardiography to the rescue!

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Kapoor,

Thiruselvan

et al. 2024

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Cardiac masses are a significant cause of patient morbidity and mortality by virtue of their symptoms and surgical removal. Preoperative diagnosis of a cardiac mass is usually based on clinical correlation and transthoracic echocardiography findings. Myxomas are the most common benign cardiac tumors, commonly occurring in the left atrium attached to the interatrial septum near the fossa ovalis. Although, at times atypical location and unusual morphology may pose a diagnostic dilemma with 2D echocardiography. 3D echocardiography with its multifaceted advantages, including multiplanar cropping abilities and superior imaging quality can help distinguish between a clot and a myxoma.

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Section: Discussionmentioning

confidence: 99%

Section: Case Detailsmentioning

confidence: 99%