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08:10
Estimating Bilateral Atrial Function by Cardiovascular Magnetic Resonance Feature Tracking in Patients with Paroxysmal Atrial Fibrillation
Published on: July 20, 2022
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Stepwise Multimodality Imaging Assists in Atrial Myxoma Diagnosis and Management.
Kristen E Wong1, Kartik Mani1,2, Spencer J Melby2,3
1Cardiology Division, Department of Medicine, Washington University in St. Louis, St. Louis, Missouri, USA.
JACC. Case Reports
|March 28, 2023
Summary
A 67-year-old man with atrial fibrillation was found to have a large atrial mass. Cardiac magnetic resonance imaging confirmed the mass was likely an atrial myxoma, a type of heart tumor.
Area of Science:
- Cardiology
- Cardiac Imaging
- Cardiovascular Surgery
Background:
- Atrial myxomas are the most common primary cardiac tumors.
- They can present with a variety of symptoms, including embolic events, obstruction, and constitutional symptoms.
- Early diagnosis and surgical resection are crucial for optimal outcomes.
Purpose of the Study:
- To present a case of a 67-year-old man with atrial fibrillation and a large atrial mass.
- To illustrate the diagnostic utility of multimodal cardiac imaging in identifying atrial myxoma.
- To highlight the importance of prompt diagnosis and management of cardiac tumors.
Main Methods:
- Transthoracic echocardiography was used to visualize the atrial mass.
- Coronary angiography was performed to assess vascularization of the mass.
- Cardiac magnetic resonance imaging was utilized for definitive characterization of the cardiac mass.
Main Results:
- Transthoracic echocardiography revealed a large atrial mass.
- Coronary angiography showed a heavily vascularized mass.
- Cardiac magnetic resonance imaging identified the mass as likely an atrial myxoma.
Conclusions:
- Atrial myxoma can present in older adults, even with comorbidities like atrial fibrillation.
- Multimodal imaging, including echocardiography, angiography, and cardiac MRI, is essential for accurate diagnosis.
- Surgical excision is the standard treatment for symptomatic atrial myxomas.
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