RT Journal Article
SR Electronic
T1 An intriguing intracardiac mass in a woman with atrial fibrillation
JF Heart
JO Heart
FD BMJ Publishing Group Ltd and British Cardiovascular Society
SP 693
OP 693
DO 10.1136/heartjnl-2015-308704
VO 102
IS 9
A1 Fabio Chirillo
A1 Michele Fusaro
A1 Giovanni Morana
A1 Zoran Olivari
YR 2016
UL http://heart.bmj.com/content/102/9/693.abstract
AB 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.Question Which of the following is the most likely diagnosis? Aortic valve endocarditis with annular abscessLeft atrial appendage thrombusLeft atrial myxomaPulmonary embolismFor the answer see page 727For the question see page 693