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Updated: Apr 24, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
Published on: June 11, 2019
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.
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.
Introduction:
A 66-years old man suffering from coronary artery disease appeared without symptoms for routine follow-up in our clinic.
Case Description:
The echocardiogram revealed a tumorous mass of the right atrium and right ventricle. In the past, coronary revascularization with venous grafts of the right coronary artery and circumflex artery as well as internal mammaria graft to the left anterior descending artery was performed 20 years before. The general clinicians presented the case to the surgeons and it was decided to perform cardiac MRI as a preoperative diagnostic modality.
Discussion And Evaluation:
Following cardiac magnetic resonance imaging (MRI) showed a mass in the pericardium in the right atrioventricular groove with thrombotic material. Due to the MRI the patient underwent coronary angiography to confirm an aneurysm.
Conclusions:
The learning points from this case are that cardiac MRI is a very useful tool for further evaluation of suspected cardiac masses and should be performed for further characterization.
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