We report the case of a 28-year-old woman taking contraceptives diagnosed with pulmonary embolism with a mass in the right atrium demonstrated by trans-thoracic echocardiogram that was not recognized on a previous angio-CT. Initially, it was thought to be a thrombus, but trans-oesophageal echocardiography and cardiac MRI showed data suggestive of cardiac neoplasm. Pericardial effusion and adjac...

A 55-year-old man with massive pulmonary thromboembolism underwent thrombolysis, pulmonary artery embolectomy and tricuspid annuloplasty. Nine months later, a mobile echogenic intra-cardiac mass was found in the tricuspid valve. Because the patient had undergone annuloplasty, thrombosis was suspected as the most likely diagnosis and thrombolytic therapy was instituted. However, the size of the ...

background: cardiac dysfunction due to chronic anemia and hemosiderosis are the major causes of death among patients with thalassemia intermedia. this study was performed to compare the cardiac function in thalassemia intermedia patients with normal subjects by means of echocardiography. materials and methods: this was a case-control study performed on 22 patients affected by thalassemia interm...

a 51-year-old man was admitted to the emergency department with palpitation and atypical chest pain. he had a history of percutaneous mitral valve commissurotomy 20 years previously. he did not use any drugs. physical examination was unremarkable except for a loud s1 on auscultation. the surface electrocardiogram (ecg) showed atrial fibrillation rhythmwith rapid ventricular response and right b...

The differential diagnosis of cardiac mass is important in determining the therapeutic plan and avoiding unnecessary surgical intervention. Non-invasive imaging methods would be useful in the diagnosis of suspected cardiac mass, because they may provide earlier diagnosis and more accurate assessment of cardiac mass. Native aortic valve thrombosis is a rare disorder and difficult to differentiat...

A 59-year-old woman was admitted in our hospital due to persistent cough and dyspnea. Transthoracic 2-dimensional echocardiography demonstrated a cardiac mass (29 x 34 mm) that extended from the right upper pulmonary vein into the left atrium causing the partial obstruction of the right lower vein as indicated by the increased Doppler velocities. Contrast echocardiography confirmed the presence...

A72-year-old man scheduled for cardiac surgery presented for evaluation of an intrathoracic mass noted on a preoperative chest roentgenogram. He denied chest pain, dyspnea, cough, weight loss, or fever. In the 1950s, while working above ground with coal, the patient had a routine chest roentgenogram that showed a left pleural mass. He remained as-ymptomatic, however, and the mass enlarged only ...

OBJECTIVES To determine whether childhood body size, composition and blood pressure are associated with adult cardiac structure by estimating childhood "age of divergence." METHODS 385 female and 312 male participants in the Fels Longitudinal Study had echocardiographic measurements of left ventricular mass, relative wall thickness, and interventricular septal thickness. Also available were a...

DESCRIPTION A 38-year-old patient presented with recurrent presyncope, extreme fatigue, facial oedema and weight loss. Physical examination revealed a palpable painless mass in the left supraclavicular region, facial oedema and a mild meso-systolic murmur audible at the right sternal border. An echocardiogram revealed a mass anterior to the heart compressing cardiac chambers and the aortic root...

Background Amyloidosis (AM) is a disease complex that results from extra-cellular protein deposition of uniquely twisted and insoluble beta pleated sheet fibrils that can be found in several acquired or hereditary AM forms. Clinically apparent cardiac involvement can be seen in about 30% of patients resulting in a restrictive cardiomyopathy, which is the most common cause of death in these pati...