An Unusual Left Atrial Mass in Hypertrophic Cardiomyopathy: The Role of Multimodality Imaging

2013 ◽  
Vol 30 (4) ◽  
pp. E111-E113 ◽  
Author(s):  
Pantila Vanichakarn ◽  
Timothy A. Beaver ◽  
Salvatore P. Costa ◽  
Julianna M. Czum ◽  
Robert T. Palac
Keyword(s):  
Hypertrophic Cardiomyopathy ◽  
Left Atrial ◽  
Multimodality Imaging ◽  
Atrial Mass

Multimodality imaging approach for the diagnosis of a left atrial mass

2021 ◽  
Author(s):  
Layal Mansour ◽  
Yahia Bellouche ◽  
Mohamad Jihad Mansour ◽  
Florent Le Ven ◽  
Jacques Mansourati
Keyword(s):  
Left Atrial ◽  
Multimodality Imaging ◽  
Atrial Mass ◽  
Imaging Approach

Hypertrophic cardiomyopathy

2021 ◽  
pp. 629-644
Author(s):  
Nuno Cardim ◽  
Alexandra Toste ◽  
Robin Nijveldt
Keyword(s):  
Hypertrophic Cardiomyopathy ◽  
Multimodality Imaging ◽  
Imaging Techniques ◽  
Genetic Diagnosis ◽  
Left Ventricular ◽  
Morphological Data ◽  
Clinical Settings ◽  
Functional Information ◽  
Clinical Questions

Imaging plays a major role in the evaluation of hypertrophic cardiomyopathy (HCM) patients, offering answers to clinical questions. Imaging techniques provide a broad spectrum of information, including morphological data, functional information, and ischaemia assessment, useful in many clinical settings of HCM. The clinical diagnosis of HCM is based on unexplained left ventricular hypertrophy (LVH) by imaging, though the role of genetic diagnosis has increased. A multimodality imaging (MMI) approach is encouraged in HCM. Each technique must be selected to provide solutions to the specific problems, avoiding duplicated data, and taking into account its technical characteristics, availability, benefits, risks, and costs.

scholarly journals The role of 3D echocardiographic imaging in the differential diagnosis of an atypical left atrial myxoma

2018 ◽  
Vol 88 (3) ◽  
Author(s):  
Domenico Galzerano ◽  
Claudio Pragliola ◽  
Mohamed Al Admawi ◽  
Mario Mallardo ◽  
Sara Di Michele ◽  
...  
Keyword(s):  
Left Atrial ◽  
Multimodality Imaging ◽  
Three Dimensional ◽  
Interatrial Septum ◽  
Atrial Myxoma ◽  
Anatomical Features ◽  
Left Atrial Myxoma ◽  
Dimensional Echocardiography ◽  
Three Dimensional Echocardiography

We describe a case of a left atrial myxoma atypical for its anatomical features and site of attachment. Although an initial multimodality imaging was performed, the diagnosis of myxoma was possible only by three dimensional echocardiography (3DE) which was able to identify the pedicle and the attachment at the base of the interatrial septum, close to the origin of right inferior pulmonary vein. In fact the 3DE can electronically section the structures and obtain unique planes useful in visualizing correctly the anatomical features of the myxomas and as a result, it facilitates the surgical decision planning. Even the anatomical appearance was uncommon at surgery and the diagnosis could be confirmed only by pathology.  This case highlights the diagnostic ability of the 3DE in similar challenging scenarios. 

scholarly journals Nonvisualization of the Left Atrial Appendage and Role of Multimodality Imaging

CASE ◽  
2020 ◽  
Author(s):  
Mohsin Khan ◽  
Lakshmi Muthukumar ◽  
Patrycja Galazka ◽  
A. Jamil Tajik ◽  
Bijoy K. Khandheria
Keyword(s):  
Left Atrial ◽  
Left Atrial Appendage ◽  
Multimodality Imaging ◽  
Atrial Appendage

scholarly journals Time based versus strain based myocardial performance indices in hypertrophic cardiomyopathy, the merging role of left atrial strain

2018 ◽  
Vol 20 (3) ◽  
pp. 334-342 ◽  
Author(s):  
Yukari Kobayashi ◽  
Kegan J Moneghetti ◽  
Sara Bouajila ◽  
Davide Stolfo ◽  
Gherardo Finocchiaro ◽  
...  
Keyword(s):  
Hypertrophic Cardiomyopathy ◽  
Left Atrial ◽  
Myocardial Performance ◽  
Performance Indices ◽  
Left Atrial Strain ◽  
Atrial Strain ◽  
Versus Strain

scholarly journals The Role of Left-Atrial Mechanics Assessed by Two-Dimensional Speckle-Tracking Echocardiography to Differentiate Hypertrophic Cardiomyopathy from Hypertensive Left-Ventricular Hypertrophy

Diagnostics ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. 814
Author(s):  
Nicoleta-Monica Popa-Fotea ◽  
Miruna Mihaela Micheu ◽  
Nicoleta Oprescu ◽  
Adriana Alexandrescu ◽  
Maria Greavu ◽  
...  
Keyword(s):  
Hypertrophic Cardiomyopathy ◽  
Left Atrial ◽  
Speckle Tracking ◽  
Ventricular Hypertrophy ◽  
Speckle Tracking Echocardiography ◽  
Left Ventricular ◽  
Two Dimensional ◽  
Booster Pump ◽  
Conduit Function

Hypertrophic cardiomyopathy (HCM) and arterial hypertension (HTN) are conditions with different pathophysiology, but both can result in left-ventricular hypertrophy (LVH). The role of left-atrial (LA) functional changes detected by two-dimensional speckle-tracking echocardiography (STE) in indicating LVH etiology is unknown. Methods: We aimed to characterize LA mechanics using STE in LVH patients with HCM and HTN. LA 2D volumetric and STE parameters were analyzed in 86 LVH patients (43 HCM and 43 isolated HTN subjects) and 33 age- and sex-matched controls. Results: The volumetric study showed that LA reservoir and conduit function were impaired in the HCM group compared to controls, while, in the HTN group, only LA conduit function was deteriorated. The HCM group had all three STE-derived LA functions impaired compared to controls. The HTN group, consistently with volumetric analysis, had solely LA conduit function reduced compared to controls. Ratios of LA booster-pump strain (S) and strain rate (SR) to interventricular septum (IVS) thickness were the most accurate parameters to discriminate between HCM and HTN. The subgroup harboring sarcomeric pathogenic (P)/likely pathogenic (LP) variants had reduced LA booster-pump S and SR compared with the genotype-negative subgroup. Conclusions: LA reservoir, conduit, and pump functions are decreased in HCM compared to HTN patients with similar LVH. We report the ratios between LA contraction S/SR and IVS thickness as novel parameters with high accuracy in discriminating LVH due to HCM. The presence of P/LP variants in sarcomeric or sarcomeric-associated genes could be associated with more severe LA dysfunction.

The Role of Multimodality Imaging in Percutaneous Left Atrial Appendage Suture Ligation with the LARIAT Device

2014 ◽  
Vol 27 (7) ◽  
pp. 699-708 ◽  
Author(s):  
Diana M. Laura ◽  
Larry A. Chinitz ◽  
Anthony Aizer ◽  
Douglas S. Holmes ◽  
Ricardo Benenstein ◽  
...  
Keyword(s):  
Left Atrial ◽  
Left Atrial Appendage ◽  
Multimodality Imaging ◽  
Atrial Appendage ◽  
Suture Ligation

scholarly journals Role of multimodality imaging in evaluation left atrial masses: Our experience & analysis with a case series

2018 ◽  
Vol 70 ◽  
pp. S101
Author(s):  
Satish Kumar Arunachalam ◽  
Gnanavelu G ◽  
Venkatesan S
Keyword(s):  
Left Atrial ◽  
Multimodality Imaging ◽  
Case Series

New-onset cardiac mass due to left atrial appendage inversion during cardiac surgery

2020 ◽  
pp. 021849232097006
Author(s):  
David Orozco-Vinasco ◽  
Dario Andrade ◽  
Adriana Orozco Vinasco ◽  
Luis Muñoz
Keyword(s):  
Differential Diagnosis ◽  
Left Atrial ◽  
Septal Defect ◽  
Left Atrial Appendage ◽  
Cardiac Mass ◽  
Atrial Appendage ◽  
Atrial Mass ◽  
Echocardiographic Examination ◽  
New Onset

Cardiac mass assessment is challenging in the intraoperative scenario. We present the case of a 22-year-old woman with a new-onset left atrial mass during cardiopulmonary bypass following closure of a ventricular septal defect. We discuss the role of intraoperative echocardiographic examination, the differential diagnosis, and raise awareness of the left atrial appendage as a rare etiology of an acute left atrial mass.

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