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A Neovascularized Left Atrial Mass
Joint Authors
Ellouz, Mariem
Kharrat, Ilyes
Mallek, Souad
Kammun, Samir
Hammami, Rania
Hentati, Mourad
Abid, Leila
Frikha, Imed
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-04-18
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Background.
The discovery of a large left atrial mass through echocardiography obliges the clinician to perform a differential diagnosis to distinguish tumor from thrombus.
The neovascularization of the mass could be helpful to predict the type of the malformation and whether it is in favour of a vacular tumour rather than a thrombus .
Observation.
A 43-years-old man who had no cardiac antecedent reported that he have had dyspnea and palpitation since 10 months.
The cardiac auscultation, revealed an irregular rhythm with diastolic murmur at the apex.
The electrocardiogram showed an atrial fibrillation.
The transthoracic echocardiography revealed a severe mitral stenosis with a huge left atrial mass, confirmed through transesophageal echocardiography.
After 4 weeks of an efficient anticoagulant treatment, the mass was still persistent in the echocardiography.
So we decided to resect the mass and to achieve a mitral valve replacement.
The preoperative coronarography showed neovascularization among the mass and fistula from the circumflex artery.
Considering the characteristic of the mass (neovascularization and resistance to anticoagulant), we strongly suspected a vascular tumor especially myxoma, but the histological exam revealed an organized thrombus.
Conclusion.
Coronary neovascularization is a specific sign for left atrial thrombus in mitral stenosis, but surgery is the best way to confirm diagnosis.
American Psychological Association (APA)
Hammami, Rania& Abid, Leila& Mallek, Souad& Kharrat, Ilyes& Ellouz, Mariem& Hentati, Mourad…[et al.]. 2012. A Neovascularized Left Atrial Mass. Case Reports in Medicine،Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-478090
Modern Language Association (MLA)
Hammami, Rania…[et al.]. A Neovascularized Left Atrial Mass. Case Reports in Medicine No. 2012 (2012), pp.1-4.
https://search.emarefa.net/detail/BIM-478090
American Medical Association (AMA)
Hammami, Rania& Abid, Leila& Mallek, Souad& Kharrat, Ilyes& Ellouz, Mariem& Hentati, Mourad…[et al.]. A Neovascularized Left Atrial Mass. Case Reports in Medicine. 2012. Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-478090
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-478090