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[Massive intraatrial mass?]

F Aboukhoudir1, B Rekik2, O Rica2

  • 1Service de cardiologie, centre hospitalier d'Avignon, 84000 Avignon, France; EA4278, laboratoire de pharm-écologie cardiovasculaire, université, 84000 Avignon, France.

Annales De Cardiologie Et D'Angeiologie
|October 5, 2016
PubMed
Summary
This summary is machine-generated.

Posterior mediastinal hematoma is a rare, life-threatening condition often caused by trauma. This case highlights a mediastinal hematoma compressing the left atrium, mimicking an intraatrial mass on echocardiography.

Keywords:
Hématome médiastinal postérieurIntraatrial massMasse intraauriculairePosterior mediastinal hematoma

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Area of Science:

  • Cardiology
  • Thoracic Surgery
  • Medical Imaging

Background:

  • Posterior mediastinal hematoma is a rare and potentially lethal condition.
  • It is frequently associated with trauma.

Observation:

  • An 88-year-old male presented with lipothymia and syncope.
  • Imaging revealed a significant posterior mediastinal hematoma.

Findings:

  • The hematoma severely compressed the left atrium.
  • Transthoracic echocardiography mimicked an obstructive intraatrial mass.

Implications:

  • This case underscores the importance of considering mediastinal hematoma in the differential diagnosis of obstructive intraatrial masses.
  • Accurate diagnosis is crucial for timely and appropriate management of this potentially fatal condition.