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Pulmonary vein mass with extension to the left atrium diagnosed by echocardiography.

Abstract We report a case of a man aged 65 years presenting with chronic cough, haemoptysis and intermittent atrial tachyarrhythmias on ECG. On 2D transthoracic echocardiography, an incidental left atrial mass was seen, initially thought to be a thrombus predisposed by intermittent atrial fibrillation. Transoesophageal echocardiography confirmed that this left atrial mass originated from a fixed, non-homogenous, right superior pulmonary vein mass with an extracardiac extension. Because of this finding, a thorough search for a primary focus lead to the discovery of a contiguous posterior mediastinal mass, which was a round cell neoplasm on histology. Management was deemed palliative. Although rare, left-sided cardiac masses should prompt the physician to search for a malignancy in the lung in high-risk patients, as haematogenous spread via the pulmonary vein is a potential mechanism for spread.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title bmj case reports
Publication Year Start




PMID- 28270398
OWN - NLM
STAT- MEDLINE
DA  - 20170308
DCOM- 20170313
LR  - 20170313
IS  - 1757-790X (Electronic)
IS  - 1757-790X (Linking)
VI  - 2017
DP  - 2017 Mar 07
TI  - Pulmonary vein mass with extension to the left atrium diagnosed by
      echocardiography.
LID - bcr2016218671 [pii]
LID - 10.1136/bcr-2016-218671 [doi]
AB  - We report a case of a man aged 65 years presenting with chronic cough,
      haemoptysis and intermittent atrial tachyarrhythmias on ECG. On 2D transthoracic 
      echocardiography, an incidental left atrial mass was seen, initially thought to
      be a thrombus predisposed by intermittent atrial fibrillation. Transoesophageal
      echocardiography confirmed that this left atrial mass originated from a fixed,
      non-homogenous, right superior pulmonary vein mass with an extracardiac
      extension. Because of this finding, a thorough search for a primary focus lead to
      the discovery of a contiguous posterior mediastinal mass, which was a round cell 
      neoplasm on histology. Management was deemed palliative. Although rare,
      left-sided cardiac masses should prompt the physician to search for a malignancy 
      in the lung in high-risk patients, as haematogenous spread via the pulmonary vein
      is a potential mechanism for spread.
CI  - 2017 BMJ Publishing Group Ltd.
FAU - Taquiso, Jezreel Labrador
AU  - Taquiso JL
AD  - Section of Cardiology, Department of Medicine, Philippine General Hospital,
      University of the Philippines Manila, Manila, Philippines.
FAU - Aherrera, Jaime Alfonso Manalo
AU  - Aherrera JA
AD  - Section of Cardiology, Department of Medicine, Philippine General Hospital,
      University of the Philippines Manila, Manila, Philippines.
FAU - Magno, Jose Donato
AU  - Magno JD
AD  - Section of Cardiology, Department of Medicine, Philippine General Hospital,
      University of the Philippines Manila, Manila, Philippines.
FAU - Sison, Eric Oliver
AU  - Sison EO
AD  - Section of Cardiology, Department of Medicine, Philippine General Hospital,
      University of the Philippines Manila, Manila, Philippines.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20170307
PL  - England
TA  - BMJ Case Rep
JT  - BMJ case reports
JID - 101526291
SB  - IM
MH  - Aged
MH  - Echocardiography
MH  - Heart Atria/diagnostic imaging
MH  - Heart Neoplasms/diagnostic imaging/secondary
MH  - Humans
MH  - Incidental Findings
MH  - Male
MH  - Multimodal Imaging
MH  - Neoplasms, Vascular Tissue/*diagnostic imaging/secondary
MH  - Pulmonary Veins/*diagnostic imaging
MH  - Radiography
EDAT- 2017/03/09 06:00
MHDA- 2017/03/14 06:00
CRDT- 2017/03/09 06:00
AID - bcr-2016-218671 [pii]
AID - 10.1136/bcr-2016-218671 [doi]
PST - epublish
SO  - BMJ Case Rep. 2017 Mar 7;2017. pii: bcr2016218671. doi: 10.1136/bcr-2016-218671.

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