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figure 1. A right atrial mass
General Cardiology Clinical Image Unknown
Figure 1. A Right Atrial Mass A 37-year-old woman presented with acute onset of dyspnea and pleuritic chest pain. Two years previously, she was diagnosed with Hodgkins’s lymphoma that was treated with right upper lobectomy, radiation therapy, chemotherapy and syngenetic bone marrow transplantation from her identical twin. Eight years previously, a skin lesion was removed from her right thigh by wide local excision without lymph node dissection. She received no further therapy for the skin lesion. Her past medical history was otherwise only remarkable for post-treatment hypothyroidism and premature menopause related to her chemotherapy. She was taking levothyroxine and hormone replacement therapy at the time of admission. She had no central venous catheter access in the preceding year. Transesophageal echocardiography showed normal right and left atrial and ventricular size and function. A 2.7 ⫻ 3.3 cm multilobulated, mobile mass (arrow) with broad-based attachment occupied the right atrial appendage and extended 1.5 cm into the superior vena cava (SVC). There was no involvement of the inferior vena cava (IVC). What is the right atrial mass? a) myxoma b) thrombus c) melanoma d) renal cell carcinoma e) lymphoma
ACC CURRENT JOURNAL REVIEW Jan/Feb 2001 © 2001 by the American College of Cardiology Published by Elsevier Science Inc.
23
1062-1458/01/$20.00 PII S1062-1458(00)00204-X
Figure 1. A Right Atrial Mass A 37-year-old woman presented with acute onset of dyspnea and pleuritic chest pain. Two years previously, she was diagnosed with Hodgkins’s lymphoma that was treated with right upper lobectomy, radiation therapy, chemotherapy and syngenetic bone marrow transplantation from her identical twin. Eight years previously, a skin lesion was removed from her right thigh by wide local excision without lymph node dissection. She received no further therapy for the skin lesion. Her past medical history was otherwise only remarkable for post-treatment hypothyroidism and premature menopause related to her chemotherapy. She was taking levothyroxine and hormone replacement therapy at the time of admission. She had no central venous catheter access in the preceding year. Transesophageal echocardiography showed normal right and left atrial and ventricular size and function. A 2.7 ⫻ 3.3 cm multilobulated, mobile mass (arrow) with broad-based attachment occupied the right atrial appendage and extended 1.5 cm into the superior vena cava (SVC). There was no involvement of the inferior vena cava (IVC). What is the right atrial mass? a) myxoma b) thrombus c) melanoma d) renal cell carcinoma e) lymphoma
ACC CURRENT JOURNAL REVIEW Jan/Feb 2001 © 2001 by the American College of Cardiology Published by Elsevier Science Inc.
23
1062-1458/01/$20.00 PII S1062-1458(00)00204-X