Utilization of Cardiac Point-of-care Ultrasonography in Evaluating a Case of Heart Failure Secondary to an Intracardiac Mass, a Case Report

Abstract Intracardiac mass is a rare medical emergency and may present with signs of heart failure like syncope. We report a case of a previously well child who presented with a history of cardiac syncope, with other symptoms of heart failure. Using cardiac point-of-care ultrasound, we were able to identify sonographic signs of heart failure and also to accidentally identify a mass in the right ventricle. Confirmation was followed using echocardiography, computed tomography angiography, and cardiac magnetic resonant imaging. The patient underwent medical treatment for his heart failure and then surgical removal and histopathological examination of the mass which was found to be an organized hematoma. A cardiac point-of-care ultrasound has been emerging as a readily available tool to evaluate global cardiac systolic function and both ventricle size for emergency physicians. Mitral valve closure is the main goal for using focused cardiac point-of-care ultrasound in the emergency department but assessing other valves in terms of closure, appearance, and regurgitation can also be addressed. We suggest in our case some modification to the view of cardiac point-of-care ultrasound that may be used by pediatric emergency medicine physicians to visualize any pathologies to the pulmonic.