Castrichini M, Albani S, Pinamonti B, Sinagra G. Atrial thrombi or cardiac tumours? The image-challenge of intracardiac masses: a case report.
Eur Heart J Case Rep 2020;
4:1-6. [PMID:
32352050 PMCID:
PMC7180525 DOI:
10.1093/ehjcr/ytaa026]
[Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2019] [Revised: 11/11/2019] [Accepted: 01/23/2020] [Indexed: 11/14/2022]
Abstract
BACKGROUND
Cardiac masses (CM) encompass a broad set of lesions that can be either neoplastic or non-neoplastic. A stepwise diagnostic strategy through multimodality imaging evaluation is the cornerstone for the appropriate approach.
CASE SUMMARY
We report the case of an 83-year-old man presenting at the emergency department for acute heart failure showing bilateral atrial masses without unequivocal aetiological aspects at several imaging techniques, emphasizing the critical aspects in the differential diagnosis.
DISCUSSION
In the complex field of CM, a proper differential diagnosis is very important in order to start the appropriate treatment; however, sometimes it could be challenging despite a multimodality imaging approach, therefore still requiring histologic examination.
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