Archives of Cardiovascular Imaging

CASE REPORT
Year
: 2014  |  Volume : 2  |  Issue : 1  |  Page : 6-

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


Marija Kotevska-Angjushev1, Menka Lazarevska2 
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
Macedonia

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.


How to cite this article:
Kotevska-Angjushev M, Lazarevska M. Left atrial and left atrial appendage mass diagnosed by cardiac imaging: A case report.Arch Cardiovasc Imaging 2014;2:6-6


How to cite this URL:
Kotevska-Angjushev M, Lazarevska M. Left atrial and left atrial appendage mass diagnosed by cardiac imaging: A case report. Arch Cardiovasc Imaging [serial online] 2014 [cited 2020 Apr 2 ];2:6-6
Available from: http://www.cardiovascimaging.com/article.asp?issn=2322-5327;year=2014;volume=2;issue=1;spage=6;epage=6;aulast=Kotevska-Angjushev;type=0