Next article Search Articles Instructions for authors  Access Statistics | Citation Manager  
INTERESTING IMAGES  

 Article Access Statistics
    Viewed1276    
    Printed7    
    Emailed0    
    PDF Downloaded82    
    Comments [Add]    

Recommend this journal

Left ventricular mass: A tumor or a thrombus diagnostic dilemma


1 Department of Cardiac Thoracic and Vascular Anesthesia, JSS Super Speciality Hospital and Medical College, Mysore, Karnataka, India
2 Department of Cardio Vascular and Thoracic Surgery, JSS Super Speciality Hospital and Medical College, Mysore, Karnataka, India

Correspondence Address:
U S Dinesh Kumar
Department of Cardiac Thoracic and Vascular Anesthesia, JSS Super Speciality Hospital, Mysore - 570 028, Karnataka
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.191551

Rights and Permissions

Year : 2016  |  Volume : 19  |  Issue : 4  |  Page : 728-732

 

SEARCH
Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles

  Article in PDF (2,194 KB)
Email article
Print Article
Add to My List
Left ventricular (LV) mass is a rare condition, of which the most common is thrombus. Echocardiography is a very useful modality of investigation to evaluate the LV mass. We are reporting a case of LV mass presenting with neurological symptom. The diagnosis of this mass was dilemma as the echocardiographic features were favoring tumor as well as thrombi. Mass (a) measuring 3.8 cm × 1.9 cm attached to the left ventricle apex appeared to be pedunculated tumor and mass (b) measuring 2.4 cm × 1.8 cm attached to the chordae of anterior mitral leaflet resembled a thrombus or an embolized tumor entangled in the chordae. A differential diagnosis for the LV mass is thrombus, tumors such as fibroma, and vegetation. Preoperative detection of a thrombus leads to an alteration in surgical steps. A large and mobile thrombus with or without a hemodynamic alteration is an indication for surgical removal to prevent stroke, myocardial infarction, mesenteric ischemia, renal infarction, gangrene of the limbs, and mortality.






[FULL TEXT] [PDF]*
 

 

 

 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 
 
 Reader Comments
 Email Alert *
  *
 * Requires registration (Free)
 
 INTERESTING IMAGES
 




1 Department of Cardiac Thoracic and Vascular Anesthesia, JSS Super Speciality Hospital and Medical College, Mysore, Karnataka, India
2 Department of Cardio Vascular and Thoracic Surgery, JSS Super Speciality Hospital and Medical College, Mysore, Karnataka, India

Correspondence Address:
U S Dinesh Kumar
Department of Cardiac Thoracic and Vascular Anesthesia, JSS Super Speciality Hospital, Mysore - 570 028, Karnataka
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.191551

Rights and Permissions

Left ventricular (LV) mass is a rare condition, of which the most common is thrombus. Echocardiography is a very useful modality of investigation to evaluate the LV mass. We are reporting a case of LV mass presenting with neurological symptom. The diagnosis of this mass was dilemma as the echocardiographic features were favoring tumor as well as thrombi. Mass (a) measuring 3.8 cm × 1.9 cm attached to the left ventricle apex appeared to be pedunculated tumor and mass (b) measuring 2.4 cm × 1.8 cm attached to the chordae of anterior mitral leaflet resembled a thrombus or an embolized tumor entangled in the chordae. A differential diagnosis for the LV mass is thrombus, tumors such as fibroma, and vegetation. Preoperative detection of a thrombus leads to an alteration in surgical steps. A large and mobile thrombus with or without a hemodynamic alteration is an indication for surgical removal to prevent stroke, myocardial infarction, mesenteric ischemia, renal infarction, gangrene of the limbs, and mortality.






[FULL TEXT] [PDF]*


        
Print this article     Email this article