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The Role of Myocardial Contrast Echocardiography to Assess the Origin of a Mass in Right Cardiac Cavities
Author(s) -
Rallidis Loukianos S.,
Papadopoulos Costas C.,
Kelekis Nikolaos L.,
Kremastinos Dimitrios Th.
Publication year - 2009
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/j.1540-8175.2008.00756.x
Subject(s) - inferior vena cava , echogenicity , medicine , cardiac tumors , radiology , thrombus , right heart , differential diagnosis , vena cava , hepatocellular carcinoma , cardiology , pathology , ultrasonography
We report the case of a patient with hepatocellular carcinoma who was admitted to our hospital with fatigue and edema of lower extremities. Transthoracic echocardiographic examination revealed a mobile echogenic cavoatrial mass that infiltrated the inferior vena cava and extended along the vessel protruding into the right cardiac cavities. The differential diagnosis included a tumor mass originating from the liver and subsequently infiltrating the inferior vena cava and extending into the right cardiac cavities or a large thrombus formed on the tumor mass that infiltrated the inferior vena cava.