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PP-122 MR CINEANGIOGRAPHIC VIEW OF RIGHT ATRIAL BLOOD CYST
S140
Posters / International Journal of Cardiology 155S1 (2012) S129–S227
PP-122 MR CINEANGIOGRAPHIC VIEW OF RIGHT ATRIAL BLOOD CYST M. Ugur, V. Temizkan, A. Ucak, A.T. Yilmaz. Department of Cardiovascular Surgery, GATA Haydarpasa ¸ Training Hospital, Istanbul, Turkey Objective: Blood cyst is uncommon benign mass of the heart. It usually becomes in the childhood and rare in the adults and uusaly origins from left ventricle or valvular structures. Echocardiography, computerized tomography, magnetic rezonans imaging (MRI) are helpful for the diagnosis of the cardiac masses. Surgical excison of the blood cyst is necessary after the diagnosis. Methods: A 20 x 20 mm. mobile mass originating from the right atrium revealed in the postoperative 3rd months examination of the patient who performed repair of secundum type atrial septal defect. In MRI cineangiography regularly mobile cystic mass was determined (Figure). Results: The patient was reoperated with this signs. The cyst was excised with right atriotomy under cardiopulmonary bypass. Blood cyst was reported in the pathological examination and patient was discharged from the hospital in postoperative 7th day without any complication. Conclusions: Blood cyst are very rare in the adults. MRI is important technique for differential diagnosis in the preoperative period. Blood cyst might excised as soon as diagnosed for avoiding life-threatining embolic complications.
of the Doppler echocardiography. A coronary angiography was performed to exclude any significant coronary artery disease before the cardiac surgery. With the transfemoral access, left coronary angiography revealed a normal left coronary artery tree. Right coronary angiography revealed a right coronary artery with a notable neovascularized mass (Figure 1). Results: At the time of the surgery, the mass was successfully removed, and arterial supply of the mass was ligated. After removal of the mass, pathological examination confirmed the suspicion of neovascularized myxoma. Conclusions: In conclusion, coronary angiography can provide additional contribution to echocardiography in the management of atrial myxoma, by visualising arterial supply of the tumour. Ligation of the arterial supply of the tumour may be needed.
Figure 1. Coronary angiography in the right anterior oblique view revealed marked contrast enrichment of the mass in the early phase.
Figure: Preoperative MRI cineangiographic view of thrombus. PP-123 A NEOVASCULARIZED LEFT ATRIAL MYXOMA VISUALISED ON CORONARY ANGIOGRAPHY A. Ulucay ¸ 1 , M.A. Celkan2 , M.F. Aksoy1 , S.K. Bayatlı2 . 1 Department of Cardiology, Defne Hospital, Antakya, Hatay, Turkey; 2 Department of Cardiovascular Surgery, Defne Hospital, Antakya, Hatay, Turkey Objective: Cardiac myxomas are the most common benign tumours of the heart. In most of the cases, they arise from the left atrium. They are highly vascular tumors. There is no consensus on the pre-operative coronary angiographic examination to assess their vascularity. Methods: A 60-year-old woman with shortness of breath for the last two months referred to our clinic. On physical examination, a diastolic murmur heard best on the apex. Her electrocardiogram showed sinus rhythm. A transthoracic echocardiography examination showed a large mass in the left atrium. This mass was prolapsing through the mitral valve into the left ventricle during diastole. A mean gradient of 9 mm Hg was measured across the mitral valve and a peak 40 mm Hg systolic pulmonary artery pressure was detected with the aid
PP-124 A LEFT VENTRICULAR SEPTAL–APICAL TRUE ANEURYSM DETECTED BY CARDIAC MAGNETIC RESONANCE IMAGING 1 ¨ 1 ˙ 2 V. Camkıran ¸ , O. Gulmez ¨ , I. Isıklar ¸ , S. Pehlivano˘glu1 , N. Alp1 . 1 Department of Cardiology, Baskent ¸ University, Ankara, Turkey; 2 Department of Radiology, Baskent ¸ University, Ankara, Turkey Objective: To describe the case of a 84 year old woman who underwent preoperative noncardiac surgery assessment. Her medical history included a previous silent myocardial infarction (MI) with coronary angiography in 2002. She was told a coronary artery was occluded. Her physical examination was normal and basal electrocardiogram showed sinus rhythm with Q waves and T wave inversions in precordial leads. Two-dimensional transthoracic echocardiography showed a 1.4×0.9 cm suspicious mass located in the mid septum, dyskinetic apical septum and the apex with ejection fraction of 45%. Apical pseudoaneurysms, true aneurysms with a false image of septal mass and interventricular septal aneurysms as a result of incomplete rupture of septum complicating MI were considered the most likely diagnosis and a cardiac magnetic resonance imaging (CMRI) was performed. The CMRI demonstrated septal and apical aneurysm composed of thinned myocardium, mid and apical anteroseptal akinesia. In conclusion we report a case of true ventricular aneurysm diagnosed with CMRI.
Posters / International Journal of Cardiology 155S1 (2012) S129–S227
PP-122 MR CINEANGIOGRAPHIC VIEW OF RIGHT ATRIAL BLOOD CYST M. Ugur, V. Temizkan, A. Ucak, A.T. Yilmaz. Department of Cardiovascular Surgery, GATA Haydarpasa ¸ Training Hospital, Istanbul, Turkey Objective: Blood cyst is uncommon benign mass of the heart. It usually becomes in the childhood and rare in the adults and uusaly origins from left ventricle or valvular structures. Echocardiography, computerized tomography, magnetic rezonans imaging (MRI) are helpful for the diagnosis of the cardiac masses. Surgical excison of the blood cyst is necessary after the diagnosis. Methods: A 20 x 20 mm. mobile mass originating from the right atrium revealed in the postoperative 3rd months examination of the patient who performed repair of secundum type atrial septal defect. In MRI cineangiography regularly mobile cystic mass was determined (Figure). Results: The patient was reoperated with this signs. The cyst was excised with right atriotomy under cardiopulmonary bypass. Blood cyst was reported in the pathological examination and patient was discharged from the hospital in postoperative 7th day without any complication. Conclusions: Blood cyst are very rare in the adults. MRI is important technique for differential diagnosis in the preoperative period. Blood cyst might excised as soon as diagnosed for avoiding life-threatining embolic complications.
of the Doppler echocardiography. A coronary angiography was performed to exclude any significant coronary artery disease before the cardiac surgery. With the transfemoral access, left coronary angiography revealed a normal left coronary artery tree. Right coronary angiography revealed a right coronary artery with a notable neovascularized mass (Figure 1). Results: At the time of the surgery, the mass was successfully removed, and arterial supply of the mass was ligated. After removal of the mass, pathological examination confirmed the suspicion of neovascularized myxoma. Conclusions: In conclusion, coronary angiography can provide additional contribution to echocardiography in the management of atrial myxoma, by visualising arterial supply of the tumour. Ligation of the arterial supply of the tumour may be needed.
Figure 1. Coronary angiography in the right anterior oblique view revealed marked contrast enrichment of the mass in the early phase.
Figure: Preoperative MRI cineangiographic view of thrombus. PP-123 A NEOVASCULARIZED LEFT ATRIAL MYXOMA VISUALISED ON CORONARY ANGIOGRAPHY A. Ulucay ¸ 1 , M.A. Celkan2 , M.F. Aksoy1 , S.K. Bayatlı2 . 1 Department of Cardiology, Defne Hospital, Antakya, Hatay, Turkey; 2 Department of Cardiovascular Surgery, Defne Hospital, Antakya, Hatay, Turkey Objective: Cardiac myxomas are the most common benign tumours of the heart. In most of the cases, they arise from the left atrium. They are highly vascular tumors. There is no consensus on the pre-operative coronary angiographic examination to assess their vascularity. Methods: A 60-year-old woman with shortness of breath for the last two months referred to our clinic. On physical examination, a diastolic murmur heard best on the apex. Her electrocardiogram showed sinus rhythm. A transthoracic echocardiography examination showed a large mass in the left atrium. This mass was prolapsing through the mitral valve into the left ventricle during diastole. A mean gradient of 9 mm Hg was measured across the mitral valve and a peak 40 mm Hg systolic pulmonary artery pressure was detected with the aid
PP-124 A LEFT VENTRICULAR SEPTAL–APICAL TRUE ANEURYSM DETECTED BY CARDIAC MAGNETIC RESONANCE IMAGING 1 ¨ 1 ˙ 2 V. Camkıran ¸ , O. Gulmez ¨ , I. Isıklar ¸ , S. Pehlivano˘glu1 , N. Alp1 . 1 Department of Cardiology, Baskent ¸ University, Ankara, Turkey; 2 Department of Radiology, Baskent ¸ University, Ankara, Turkey Objective: To describe the case of a 84 year old woman who underwent preoperative noncardiac surgery assessment. Her medical history included a previous silent myocardial infarction (MI) with coronary angiography in 2002. She was told a coronary artery was occluded. Her physical examination was normal and basal electrocardiogram showed sinus rhythm with Q waves and T wave inversions in precordial leads. Two-dimensional transthoracic echocardiography showed a 1.4×0.9 cm suspicious mass located in the mid septum, dyskinetic apical septum and the apex with ejection fraction of 45%. Apical pseudoaneurysms, true aneurysms with a false image of septal mass and interventricular septal aneurysms as a result of incomplete rupture of septum complicating MI were considered the most likely diagnosis and a cardiac magnetic resonance imaging (CMRI) was performed. The CMRI demonstrated septal and apical aneurysm composed of thinned myocardium, mid and apical anteroseptal akinesia. In conclusion we report a case of true ventricular aneurysm diagnosed with CMRI.