Key result
Multimodality imaging with echocardiogram, CT, and MRI aids in the diagnosis of right atrial masses, with surgical resection or thrombolysis serving as the primary treatment modalities in 3 cases.
Why the study?
Cardiac masses are rare and pose an interesting diagnostic and therapeutic challenge with varied differentials.
Case Report (n=3)
Right atrial masses present diagnostic and therapeutic challenges, requiring multimodality imaging for diagnosis and tailored treatments such as surgical resection or thrombolysis.
May guide individualized right atrial mass evaluation; leaves open standardized management pending larger studies.
Cardiac masses are rare, and they pose an interesting diagnostic and therapeutic challenge. The differentials vary from tumours – both primary and secondary, thrombus, infective vegetations, artifacts to cysts. They can present with obstructive symptoms, embolisation, constitutional symptoms or pericardial effusions. Multimodality imaging with echocardiogram, computed tomography (CT) and magnetic resonance imaging (MRI) help in diagnosis. Complete surgical resection is often the modality of choice in cases of tumours. Thrombolysis or surgical extraction is suitable in cases of thrombus in the right heart.
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Jayaprakash et al. (2022) conducted a case report in Right atrial masses (n=3). Multimodality imaging with echocardiogram, CT, and MRI aids in the diagnosis of right atrial masses, with surgical resection or thrombolysis serving as the primary treatment modalities in 3 cases.
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