J Cardiovasc Ultrasound.  2008 Jun;16(2):63-65. 10.4250/jcu.2008.16.2.63.

Simultaneous but, Different Two Cardiac Masses

• Kim SH
• Kwak MH

• KMID: 1491044
• DOI: http://doi.org/10.4250/jcu.2008.16.2.63

Abstract

We present the case with cardiac metastasis and thrombus simultaneously. Two intracardiac masses were evaluated by chest computed tomography and transthoracic echocardiography. Metastatic mass and thrombus were in contact with each other and thrombus formation may be associated with denudation of endocardium by metastatic mass.

Keyword

Metastasis; Thrombus; Cancer; Echocardiography; CT

MeSH Terms

Echocardiography
Endocardium
Neoplasm Metastasis
Thorax
Thrombosis

Figure

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  Fig. 1 Initial evaluation of two cardiac masses by transthoracic echocardiography (A) and chest CT (B). Transthoracic echocardiography shows homogeneous mass in interventricular septum (black arrow heads) and mobile thrombus in right atrium in subxyphoid view (A). Chest CT shows low attenuated mass which involves interventricular septum at base level (B, black arrow heads). CT: computed tomography.

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  Fig. 2 Initial evaluation of thrombus in right atrium. Echocardiography shows round and mobile thrombus in right atrium. It has a stalk like structure and is mobile (A). CT shows low attenuated mass like lesion in right atrium.

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  Fig. 3 Two cardiac masses after 7 weeks later. The size of metastatic mass and thrombus are increased in echocardiography (A) and CT (B). CT: computed tomography.

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