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The Role of Three‐Dimensional Echocardiography in Interventricular Mass Evaluation
Author(s) -
Miglioranza Marcelo Haertel,
Leiria Tiago Luiz Luz,
Haertel José Carlos,
Winkler Maristela,
FernándezGolfin Covadonga,
Zamorano José Luis
Publication year - 2013
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.12161
Subject(s) - medicine , interventricular septum , lesion , hypertrophic cardiomyopathy , radiology , magnetic resonance imaging , cardiomyopathy , cardiology , mass/lesion , pathology , heart failure , ventricle
A young patient underwent a screening electrocardiogram ( EKG ) that suggested apical hypertrophic cardiomyopathy. Serial investigation with echocardiography showed a well‐defined hyperechogenic mass involving the interventricular septal. To better define the lesion extension three‐dimensional ( 3D ) echocardiography was done and it demonstrated a mass invading the septal myocardium, involving the major part of the muscular portion. The findings were highly suggestive of a cardiac fibroma. A cardiac magetic resonance image ( MRI ) was also compatible with this diagnosis. In our case, 3D echo showed a high accuracy, proving to be a useful tool to determine the anatomy of the lesion, complementary to MRI , guiding best management strategy.