Prominent Transverse Sinus of Pericardium is Uncommon Diagnostic Pitfall on Echocardiography: Clues to Diagnosis

Autor: Marija Kotevska Angjushev, Darko Angjushev, Ana Djordjevic Dikic
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging, Vol 8, Iss 1, Pp 66-68 (2024)
Druh dokumentu: article
ISSN: 2543-1463
2543-1471
DOI: 10.4103/jiae.jiae_63_23
Popis: Transverse sinus (TS) is a normal structure of pericardium, usually visualized on transesophageal echocardiography (TEE). Rarely, when it is prominent, it may be visualized on transthoracic echocardiography (TTE), as a mobile circumscribed mass in the parasternal short-axis view. Due to its location adjacent to left atrial appendage (LAA), it can be misdiagnosed as an LAA thrombus. A 41-year-old woman presented with heart failure signs. TTE showed a circumscribed mass (1 cm × 2 cm), in or adjacent to the LAA, suggestive of an LAA thrombus. Additional maneuvers with the transducer made it obvious that it was a prominent TS, adjacent to the LAA, while the appendage was empty. TEE confirmed the diagnosis.
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