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Mal-positioned coronary sinus catheter masquerading as right atrium mass - Thanks to transesophageal

Alisha Goel1, Krishna Prasad Gourav1, Sujitha Reddy1

  • 1Department of Anaesthesia & Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Journal of Clinical Ultrasound : JCU
|May 11, 2022
PubMed

Insights

A mass was identified in the right atrium (RA) during cardiac catheterization. This finding highlights the importance of imaging during invasive procedures for detecting cardiac abnormalities.

Area of Science:

  • Cardiology
  • Echocardiography
  • Cardiac Imaging

Background:

  • Intracardiac masses can present diagnostic challenges.
  • Echocardiography is crucial for cardiac structure and function assessment.

Observation:

  • A mid-esophageal 4-chamber view was utilized for cardiac imaging.
  • A mass was visualized in the right atrium (RA) adjacent to the coronary sinus catheter.

Findings:

  • The imaging clearly depicted an intracardiac mass within the right atrium.
  • The mass's location was immediately noted post-coronary sinus catheter insertion.

Implications:

  • This case underscores the utility of intraoperative echocardiography in identifying unexpected cardiac findings.
  • Prompt identification of right atrial masses is essential for appropriate patient management and treatment planning.

Keywords:
coronary sinus cathetermal-positionright atrial mass

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