Coumadin ridge mass assessed on three-dimensional transoesophageal echocardiography.
Acta Cardiol
; 68(2): 193-6, 2013 Apr.
Article
en En
| MEDLINE
| ID: mdl-23705563
Transoesophageal echocardiography is often recommended in the evaluation of cryptogenic stroke, especially in those patients with no or few risk factors. We report the case of 66-year-old male with a history of multiple ischaemic strokes, admitted to our stroke unit following the discovery of multiple and diffuse new ischaemic lesions on a cerebral magnetic resonance imaging. Transoesophageal echocardiography led to the discovery of a very small mass attached to the tissue fold between the left superior pulmonary vein and the left atrial appendage (often referred to as"coumadin ridge"). The three-dimensional acquisition allowed detailed characterization of this mass. No other source of emboli was detected.The mass was considered to be most likely a tumour and was probably the cause of the multiple strokes. Due to the already advanced neurological disease and the small dimensions of the mass surgery was considered inappropriate. The patient was initiated on oral anticoagulants. This case highlights the importance of three-dimensional ultrasound in the detection and evaluation of intracardiac masses.
Buscar en Google
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Venas Pulmonares
/
Ecocardiografía
/
Apéndice Atrial
/
Accidente Cerebrovascular
/
Neoplasias Cardíacas
/
Células Neoplásicas Circulantes
Tipo de estudio:
Etiology_studies
/
Risk_factors_studies
Límite:
Aged
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Acta Cardiol
Año:
2013
Tipo del documento:
Article
País de afiliación:
Bélgica
Pais de publicación:
Reino Unido