Paradoxical embolism in a patient with a large tricuspid myxoma and patent foramen ovale | Zendy

Sophie Van Malderen | Zendy; D. Kerkhove | Zendy; Kaoru Tanaka | Zendy; Wim Van Hecke | Zendy; Guy Van Camp | Zendy

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Paradoxical embolism in a patient with a large tricuspid myxoma and patent foramen ovale

Author(s) -

Sophie Van Malderen,

D. Kerkhove,

Kaoru Tanaka,

Wim Van Hecke,

Guy Van Camp

Publication year - 2011

Publication title -

european journal of echocardiography

Language(s) - English

Resource type - Journals

eISSN - 1525-2167

pISSN - 1532-2114

DOI - 10.1093/ejechocard/jer032

Subject(s) - medicine , patent foramen ovale , myxoma , foramen ovale (heart) , tricuspid valve , radiology , cardiology , right atrial myxoma , cerebral embolism , embolism , percutaneous

A 61-year-old man with an uneventful medical history presented with two transient ischaemic attacks (TIA) with bulbar and peripheral deficit. Transthoracal and transoesophageal echocardiography revealed a patent foramen ovale (PFO) and a large, lobulated, pedunculated, non-calcified, and heterogenic mass attached to the septal tricuspid leaflet ( Panels 1–3 ) with important mobility.MRI suggested a myxoma, being isointense on T1-weighted turbo spin echo (TSE), iso-hyperintense on T2-weighted TSE, and hypointense on spoiled gradient echo. First-pass perfusion showed a heterogeneous and hypoperfused enhancement pattern, while contrast-enhanced inversion recovery images showed diffuse hyperenhancement ( Panels 4 and 5 ). Carotid echo-Doppler, Holter monitoring, and a …

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