Key result
TEE identifies an unusual echogenic mass between the left atrium, pulmonary artery, and aortic root.
Case Report (n=1)
A clinical vignette presenting an intracardiac mass found on transoesophageal echocardiogram in a patient with atrial fibrillation.
Recognizing this echogenic structure on TEE may prevent misdiagnosis in AF patients; leaves open its prevalence and clinical relevance in broader cohorts.
CLINICAL INTRODUCTION: A 74-year-old hypertensive woman presented with shortness of breath. There was no associated coughing, chest pain or fever. ECG identified atrial fibrillation with rapid ventricular response. A transoesophageal echocardiogram was scheduled to exclude thrombus before cardioversion (Figure 1A); however, an echogenic structure was seen (Figure 1B arrow, see online supplementary video 1) between the left atrium, the pulmonary artery and the aortic root. QUESTION: Which of the following is the most likely diagnosis? A. Aortic valve endocarditis with annular abscess. B. Left atrial appendage thrombus. C. Left atrial myxoma. D. Pulmonary embolism.
No takes yet. Share an insight, caveat, or question.
Chirillo et al. (2015) conducted a case report in Atrial fibrillation and intracardiac mass (n=1). Transoesophageal echocardiogram was evaluated on Diagnosis of the intracardiac mass. Transoesophageal echocardiogram in a 74-year-old woman with atrial fibrillation revealed an intriguing echogenic structure between the left atrium, pulmonary artery, and aortic root.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: