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A 50-year-old man with incidental cardiac mass

Aiman Smer1, Venkata M Alla2, Hussam Abuissa3

  • 1Department of Cardiovascular Medicine, CHI Health Creighton University School of Medicine, Omaha, Nebraska, USA.

Heart (British Cardiac Society)
|September 17, 2016
PubMed

Insights

A cardiac mass was incidentally found in a patient undergoing evaluation for atrial fibrillation. Imaging revealed a thin-walled mass in the fossa ovalis, prompting further diagnostic consideration.

Area of Science:

  • Cardiology
  • Diagnostic Imaging
  • Cardiac Surgery

Background:

  • A 50-year-old male with a history of paroxysmal atrial fibrillation was scheduled for transesophageal echocardiography before atrial fibrillation ablation.
  • Atrial fibrillation ablation is a procedure to treat irregular heart rhythms.

Observation:

  • An echo-lucent mass was detected during the transesophageal echocardiogram.
  • Color Doppler and contrast imaging indicated no blood flow across the mass or interatrial septum.
  • A CT scan revealed a thin-walled, well-defined mass at the inferior border of the fossa ovalis, protruding into the left atrium.

Findings:

  • The imaging characteristics suggest a specific type of cardiac mass.
  • The location and appearance are crucial for differential diagnosis.

Implications:

  • Accurate diagnosis of cardiac masses is essential for appropriate management.
  • Further investigation is required to determine the exact nature of the mass and guide treatment decisions.
Abstract

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