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Year : 2014  |  Volume : 2  |  Issue : 1  |  Page : 6

Left atrial and left atrial appendage mass diagnosed by cardiac imaging: A case report

1 Cardiology Department, “8th of September” City Hospital, Skopje, Macedonia
2 University Clinic of Radiology, Saints Cyril and Methodius University of Skopje, Skopje, Macedonia

Correspondence Address:
Marija Kotevska-Angjushev
Cardiology Department, “8th of September” City Hospital, Skopje
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Source of Support: None, Conflict of Interest: None

DOI: 10.5812/acvi.15633

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Introduction: Left atrial thrombi are present in one third of patients with severe rheumatic mitral stenosis and atrial fibrillation. A left atrial mass can be diagnosed as a thrombus by transthoracic echocardiography in the presence of the predisposing factors for a thrombus such as mitral stenosis and atrial fibrillation. The sensitivity of transthoracic echocardiography for detecting left atrial appendage thrombi is low, and only a few case reports have been described in the literature. Case Presentation: This report describes the case of a 65-year-old female with severe rheumatic mitral stenosis and chronic atrial fibrillation presenting with congestive heart failure. This patient was shown, by means of transthoracic echocardiography, to have a large immobile left atrium cavity mass (6.5 × 3.4 × 2.3 cm) and a large left atrial appendage mass (1.7 cm) identified as a thrombus. Contrast computed tomography of the chest confirmed the diagnosis. Conclusions: Transthoracic echocardiography was sufficient to establish the diagnosis and to decide its management.

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