Giant bypass aneurysm, a cause of suspected cardiac mass

Jan M Sohns1, Martin Fasshauer1, Wieland Staab1

  • 1Institute for Diagnostic and Interventional Radiology, Center of Radiology, DZHK, Georg-August-University Göttingen, UMG Universitätsmedizin Göttingen, Robert-Koch-Str. 40, 37075 Göttingen, Germany ; German Centre for Cardiovascular Research, DZHK, Göttingen, Germany.

Springerplus
|September 4, 2014
PubMed

Insights

Cardiac MRI effectively characterized a pericardial mass in a patient with coronary artery disease. This imaging modality is crucial for diagnosing cardiac masses and guiding further management.

Area of Science:

  • Cardiology
  • Diagnostic Imaging

Background:

  • A 66-year-old male with a history of coronary artery disease presented for routine follow-up.
  • Previous coronary revascularization with grafts was performed 20 years prior.

Purpose of the Study:

  • To evaluate a tumorous mass detected in the right atrium and ventricle via echocardiogram.
  • To determine the utility of cardiac MRI in characterizing cardiac masses.

Main Methods:

  • Echocardiography initially revealed a cardiac mass.
  • Cardiac magnetic resonance imaging (MRI) was employed as a preoperative diagnostic tool.
  • Coronary angiography was performed to confirm findings.

Main Results:

  • Cardiac MRI identified a pericardial mass with thrombotic material in the right atrioventricular groove.
  • Coronary angiography confirmed an aneurysm.

Conclusions:

  • Cardiac MRI is a valuable tool for the comprehensive evaluation of suspected cardiac masses.
  • Further characterization of cardiac masses using MRI is recommended.
Abstract

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