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Dilemma in clinical diagnosis of right ventricular masses
Author(s) -
Sušić Livija,
Baraban Vedrana,
Vincelj Josip,
Maričić Lana,
Ćatić Jasmina,
Blažeković Robert,
Manojlović Spomenka
Publication year - 2016
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.22414
Subject(s) - medicine , dilemma , cardiology , radiology , epistemology , philosophy
Detection of an intracardiac mass always represents a clinical challenge. We present a 61‐year‐old female patient with symptoms of New York Heart Association class III. Two‐dimensional transthoracic echocardiography revealed a hypoechogenic mass in the cavity of the dilated right ventricle (RV). Cardiac MRI described a pathologic structure of the RV free wall with pedunculated tumor in its cavity. Three months later, on a repeated echocardiography, there were three individual masses. The patient underwent surgery and the pathohistologic report demonstrated thrombotic masses. During the postoperative period, after reviewing all medical records, the conclusion was arrhythmogenic RV cardiomyopathy. © 2016 Wiley Periodicals, Inc. J Clin Ultrasound 45 :362–369, 2017;