Article Text

other Versions

An intriguing intracardiac mass in a woman with atrial fibrillation
  1. Fabio Chirillo1,
  2. Michele Fusaro2,
  3. Giovanni Morana2,
  4. Zoran Olivari1
  1. 1Department of Cardiology, Ca’ Foncello Hospital, Treviso, Italy
  2. 2Department of Radiology, Ca’ Foncello Hospital, Treviso, Italy
  1. Correspondence to Dr Fabio Chirillo, Department of Cardiology, UOC Cardiologia, Ospedale Ca’ Foncello, Treviso 31100, Italy; fchirillo{at}, fchirillo{at}

Statistics from

Clinical introduction

A 74-year-old hypertensive woman presented with shortness of breath. There was no associated coughing, chest pain or fever. ECG identified atrial fibrillation with rapid ventricular response. A transoesophageal echocardiogram was scheduled to exclude thrombus before cardioversion (Figure 1A); however, an echogenic structure was seen (Figure 1B arrow, see online supplementary video 1) between the left atrium, the pulmonary artery and the aortic root.

Figure 1

Two-dimensional transoesophageal echocardiography from mid-oesophageal view at 0° (A) and at 60° with anterior (B) flexion of the probe. AO, aorta; LA, left atrium; LAA, left atrial appendage; PA, pulmonary artery.


Which of the following is the most likely diagnosis?

  1. Aortic valve endocarditis with annular abscess

  2. Left atrial appendage thrombus

  3. Left atrial myxoma

  4. Pulmonary embolism …

View Full Text

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Linked Articles