Author + information
- Received November 1, 2012
- Accepted November 14, 2012
- Published online June 4, 2013.
- José-Luis Moya Mur, MD, PhD*,
- Enrique Oliva Danquin, MD†,
- José Julio Jiménez Nacher, MD*,
- Covadonga Fernández-Golfin, MD* and
- José Zamorano, MD, PhD*
A 33-year-old man with chest pain was referred for evaluation of a cardiothoracic mass. A 2-dimensional (2-D) transthoracic echocardiogram (TTE) showed a mediastinum mass infiltrating the right ventricle (RV), right atrium (RA), and pericardial cavity. The RA lateral wall appeared to be ruptured (arrow) and connected to a cavity (*) in the pericardial mass (A and B,Online Video 1). A 3-dimensional (3-D) TTE clearly showed the RA rupture (C,Online Video 2) and the flow of contrast into the cavity (D,Online Videos 3 and 4). A 2-D transesophageal echocardiogram (TEE) confirmed these findings (E). A 3-D TEE allowed a more precise characterization of the rupture (F,Online Video 5) showing the color flow through the rupture (G, Online Video 6). The mass was partially removed at surgery, and a patch occluded the rupture. Histology revealed angiosarcoma.
RA rupture is a rare complication in angiosarcoma (A). A 3-D TTE allows a rapid and precise diagnosis of the rupture, similar to TEE. LA = left atrium; LV = left ventricle; PA = pulmonary artery.
- Received November 1, 2012.
- Accepted November 14, 2012.
- American College of Cardiology Foundation