Atrial septal mass: Transesophageal echocardiographic assessment

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Presentation transcript:

Atrial septal mass: Transesophageal echocardiographic assessment Giulio Rizzoli, MD, Tomaso Bottio, MD, PhD, Demetrio Pittarello, MD, Massimo Napodano, MD, Gaetano Thiene, MD, Cristina Basso, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 128, Issue 5, Pages 767-769 (November 2004) DOI: 10.1016/j.jtcvs.2004.03.053

Figure 1 Transesophageal echocardiography shows an interatrial septal cystic mass that interferes with right blood flow by protruding into the right atrium and that is limited in its extension by the endocardial layers. At Doppler examination, an afferent coronary branch is discovered. The left atrium is at the top of the screen. The Journal of Thoracic and Cardiovascular Surgery 2004 128, 767-769DOI: (10.1016/j.jtcvs.2004.03.053)

Figure 2 Catheter angiography, performed to exclude coronary lesions in view of the surgical excision, confirmed the presence of a coronary artery supply to the mass. The Journal of Thoracic and Cardiovascular Surgery 2004 128, 767-769DOI: (10.1016/j.jtcvs.2004.03.053)

Figure 3 A and B, At gross examination, the excised mass appears round, solid, and flattened, 5 × 5 × 2 cm in size, with cystic spaces at the transverse cut. C and D, Histology and immunohistochemistry reveal multiple vascular spaces with endothelial lining. (Original magnification 25×; trichrome and CD31 staining.) The Journal of Thoracic and Cardiovascular Surgery 2004 128, 767-769DOI: (10.1016/j.jtcvs.2004.03.053)