ABSTRACT
The patient was a 70-year-old female with antecedents of diabetes mellitus and hypertension, being followed up in the outpatient care clinic due to chronic anemia after corrective surgery for angiodysplasia of the proximal jejunum, in whom an image suggestive of left atrial myxoma was found on routine transthoracic echocardiography. Then multiplanar transesophageal echocardiography and 3-dimensional echocardiography were performed, showing the latter better anatomical details of the tumor. The patient underwent exeresis of the mass with anatomicopathological confirmation of the tumor. Three-dimensional echocardiography proved to be a technique that can provide additional contributions to the diagnostic investigation of structural heart diseases.
Subject(s)
Echocardiography, Three-Dimensional , Heart Neoplasms/diagnostic imaging , Myxoma/diagnostic imaging , Aged , Female , Heart Atria/diagnostic imaging , HumansABSTRACT
Mulher de 70 anos, com antecedentes de diabetes mellitus e hipertensão arterial sistêmica, em acompanhamento ambulatorial por anemia crônica após cirurgia corretiva de angiodisplasia de jejuno proximal, apresentou imagem de mixoma em átrio esquerdo em exame ecocardiográfico transtorácico de rotina. Foi submetida a investigação ecocardiográfica transesofágica multiplanar e a estudo ecocardiográfico tridimensional. O ecocardiograma tridimensional propiciou melhor detalhamento anatômico da tumoração. A paciente foi submetida a exérese da massa, com confirmação anatomopatológica. O ecocardiograma tridimensional mostrou ser técnica que apresenta contribuição adicional à investigação diagnóstica das cardiopatias estruturais.
Subject(s)
Humans , Female , Aged , Echocardiography, Three-Dimensional , Heart Neoplasms , Myxoma , Heart AtriaSubject(s)
Endocarditis, Bacterial/complications , Heart Aneurysm/etiology , Heart Aneurysm/surgery , Mitral Valve/surgery , Streptococcal Infections/complications , Viridans Streptococci , Aortic Valve , Echocardiography , Echocardiography, Transesophageal , Heart Aneurysm/diagnostic imaging , Humans , Male , Middle Aged , Mitral Valve/diagnostic imagingABSTRACT
We report an elderly patient, with hypertension and left ventricular concentric hypertrophy with sigmoid shape of the septum, who presented an unsatisfactory response to medical treatment and who was successfully submitted to myocardial contrast echocardiography-guided percutaneous transluminal septal myocardial ablation.
