Revealing the etiology of a left ventricular mass using cardiac magnetic resonance
| Autor: | Ola Akinboboye, Khalid M Rizwan, Gorgi Kozeski, Tarek M Mousa, Saji Abraham |
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| Rok vydání: | 2010 |
| Předmět: |
Medicine(all)
lcsh:Diseases of the circulatory (Cardiovascular) system medicine.medical_specialty Radiological and Ultrasound Technology medicine.diagnostic_test business.industry medicine.disease Apex (geometry) Left ventricular mass medicine.anatomical_structure lcsh:RC666-701 Internal medicine cardiovascular system medicine Cardiology Etiology Breast MRI Radiology Nuclear Medicine and imaging cardiovascular diseases Thrombus Systole Cardiology and Cardiovascular Medicine business Artery Angiology |
| Zdroj: | Journal of Cardiovascular Magnetic Resonance, Vol 12, Iss Suppl 1, p T5 (2010) |
| ISSN: | 1532-429X |
| DOI: | 10.1186/1532-429x-12-s1-t5 |
| Popis: | A 59-year-old female with history of breast and ovarian CA was being evaluated because of an incidentally noted left ventricular mass on a routine follow-up breast MRI. Transthoracic and transesophageal echocardiograms detected a large pedunculated LV mass (6.4cm x 2.4cm) attached to the apex. A cardiac MRI was done to better characterize the mass. Spin echo weighted T1 and T2 sequences demonstrated a large cylindrical mass attached to the apex, nearly iso-intense with the myocardium that does not thicken with systole. Inversion recovery imaging sequence timed to null thrombus confirmed the mass to be a thrombus. Delayed enhancement imaging showed an antero-lateral-apical scar consistent with distal left anterior descending (LAD) artery infarct of the anterior left ventricular wall. The patient had no history of a prior MI and had no previous ischemic cardiac work up. Herein, we describe a rare case of an exceptionally large intracavitary thrombus overlying an apical infarct detected only by cardiac MRI in a patient with a probable hypercoagulable state from ovarian CA. from 13th Annual SCMR Scientific Sessions Phoenix, AZ, USA. 21-24 January 2010 |
| Databáze: | OpenAIRE |
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