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Related Concept Videos

Mitral Stenosis II: Clinical features and Diagnostic Tests01:23

Mitral Stenosis II: Clinical features and Diagnostic Tests

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Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
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Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

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Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
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Cardiomyopathy III: Hypertrophic Cardiomyopathy

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Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
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Mitral Regurgitation II: Clinical Features and Diagnostic Tests01:23

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Mitral regurgitation (MR) is a valvular heart disorder in which the mitral valve fails to close tightly, allowing blood to leak backward into the heart. Understanding the clinical manifestations, assessment, diagnostic findings, and medical management of MR is crucial to effectively managing affected patients.Clinical Manifestations of Mitral RegurgitationMitral regurgitation can be acute or chronic, each presenting differently and requiring different approaches:1. Acute Mitral...
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Restrictive cardiomyopathy (RCM) is a rare heart muscle disease characterized by impaired ventricular filling due to stiffened ventricular walls, leading to significant diastolic dysfunction.EtiologyRestrictive cardiomyopathy can arise from both inherited and acquired diseases, many of which are systemic. It is categorized into four main types: infiltrative, storage, non-infiltrative, and endomyocardial diseases.Infiltrative diseases, such as amyloidosis, lead to RCM by depositing amyloid...
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Mitral Valve Prolapse II: Assessment and Management01:22

Mitral Valve Prolapse II: Assessment and Management

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IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular...
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Corrigendum to "European experience on oncological outcomes of patients with early stage non-small cell lung cancer and any prior cancer following lobectomy or segmentectomy" [Lung Cancer J. 217 (2026) 109410].

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Related Experiment Video

Updated: Sep 29, 2025

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
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Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques

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A DECEITFUL RIGHT ATRIAL MASS.

José Máximo1, Rita Costa1, Elson Salgueiro1

  • 1Department of Cardiothoracic Surgery, Centro Hospitalar Universitário S. João, Porto, Portugal; Department of Physiology and Surgery, Faculty of Medicine, Porto University, Portugal.

Portuguese Journal of Cardiac Thoracic and Vascular Surgery
|March 25, 2022
PubMed
Summary

A large atrial mass was surgically removed from a young patient experiencing severe venous congestion. Post-operative histopathology confirmed the mass was a thrombus, not a malignant tumor, leading to successful atrial reconstruction.

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Area of Science:

  • Cardiology
  • Surgical Pathology

Background:

  • Atrial masses can present with significant clinical symptoms, including venous congestion.
  • Distinguishing between thrombus and malignancy is critical for appropriate patient management.

Purpose of the Study:

  • To report a case of a large atrial mass requiring surgical intervention.
  • To detail the diagnostic and therapeutic approach for an atrial mass.

Main Methods:

  • Surgical excision of a large atrial mass.
  • Histopathological examination of the excised mass.
  • Partial atrial reconstruction.

Main Results:

  • A large, hard, grayish atrial mass was successfully removed.
  • Histopathology confirmed the mass to be a thrombus.
  • The patient underwent partial atrial reconstruction.

Conclusions:

  • Surgical management can be effective for large atrial masses presenting with severe symptoms.
  • Histopathology is essential to rule out malignancy and confirm diagnosis.
  • Thrombus is a possible diagnosis for atrial masses, even with concerning features.