Key result
Intracardiac echocardiography was successfully used to guide myocardial biopsy for accurate tissue localization of an ill-defined right heart mass in a 61-year-old man.
Case Report (n=1)
Intracardiac echocardiography can be effectively used to guide myocardial biopsy for accurate tissue localisation of cardiac tumours.
May aid biopsy localization in select right heart masses; leaves open safety, efficacy, and generalizability.
A 61-year-old man presented with recurrent ventricular tachycardia (left bundle branch block morphology, superior axis). Magnetic resonance imaging (Fig. 1) and contrast-enhanced transthoracic echocardiography (Fig. 2) demonstrated an ill-defined mass in the right heart along the free wall of the right atrium, involving the tricuspid valve and extending into the right ventricle. Extensive investigation showed no evidence of extra-cardiac involvement and a tissue diagnosis was recommended. Accordingly, we elected to proceed to myocardial biopsy and, to facilitate accurate tissue localisation, we performed the procedure under guidance with intracardiac echocardiography.
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Mitchell et al. (2006) conducted a case report in Primary cardiac tumour (n=1). Intracardiac echocardiography-guided myocardial biopsy was evaluated. Intracardiac echocardiography was successfully used to guide myocardial biopsy for accurate tissue localization of an ill-defined right heart mass in a 61-year-old man.
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