Korean Circ J.  2015 Mar;45(2):165-168. 10.4070/kcj.2015.45.2.165.

Intracardiac Echocardiography to Guide Biopsy for Two Cases of Intracardiac Masses

• Park KI
• Kim MJ
• Oh JK
• Lee JH
• Park JH
• Choi SW
• Jeong JO
• Seong IW

• KMID: 2297885
• DOI: http://doi.org/10.4070/kcj.2015.45.2.165

Abstract

Pathologic diagnosis of a cardiac mass is vital in determining the proper treatment modality. Open heart surgery or transesophageal echocardiography guided biopsy can be feasible methods to confirm the pathology. However, the former is highly invasive and both methods require general anesthesia. The introduction of intracardiac echocardiography (ICE) can provide good anatomic information of heart and does not require general anesthesia. In this report, we present two cases of cardiac tumors which were confirmed by percutaneous biopsy under the guidance of an ICE. The patients underwent cardiac biopsy without any complications.

Keyword

Cardiac tumor; Echocardiography; Biopsy

MeSH Terms

Anesthesia, General
Biopsy*
Diagnosis
Echocardiography*
Echocardiography, Transesophageal
Heart
Heart Neoplasms
Humans
Ice
Pathology
Thoracic Surgery
Ice

Figure

• 

  Fig. 1 A: transthoracic echocardiography shows diffuse thickening of posterior aspect of the right atrial wall (arrows) with large amount of pericardial effusion. B: computed tomography of the chest reveals a mass lesion along the superior and posterior right atrial wall without enhancement (arrows). C: the intracardiac echocardiographic catheter (arrows) and biopsy catheter (arrowheads) are clearly shown with fluoroscopic findings. D: the intracardiac echocardiography demonstrates thickened mass of the right atrium and well-targeted biopsy catheter (arrowheads) on the mass. RA: right atrium, RV: right ventricle, LA: left atrium.

• 

  Fig. 2 A: transthoracic echocardiography shows a huge mass lesion infiltrating interatrial septum and obliterating right pulmonary veins (arrows). B: the computerized tomography of the chest demonstrates a round mass in the atria extending into the lung and posterior mediastinum (arrows). C: the fluoroscopic finding reveals a biopsy catheter (arrows) and an intracardiac echocardiography catheter (arrowheads) placed in the right atrium. D: the intracardiac echocardiography shows a round mass in the right atrium (arrows) and well-placed biopsy catheter (arrowheads). RA: right atrium, RV: right ventricle, LA: left atrium, LV: left ventricles.

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