Cardiac MRI is an effective modality for the definitive characterization of cardiac masses initially detected by echocardiography.
May support CMR to differentiate septal masses on echo; hypothesis-generating and should not yet change practice.
A 62-year-old man experienced a transient ischaemic attack. He underwent a transthoracic echocardiogram to rule out the presence of embolic source. It showed a 10 mm mass with broad attachment to the left side of the interventricular septum. Diagnosis of cardiac myxoma, sessile thrombus, and localized hypertrophic cardiomyopathy were considered. He was then referred for a cardiac magnetic resonance imaging (MRI) study for further characterization of the mass. Cardiac …
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Gáname et al. (2007) studied this question.