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J Thorac Cardiovasc Surg 2004;128:767-769
© 2004 The American Association for Thoracic Surgery

Brief communication

Atrial septal mass: Transesophageal echocardiographic assessment

Giulio Rizzoli, MDa, Tomaso Bottio, MD, PhDa, Demetrio Pittarello, MDa, Massimo Napodano, MDc, Gaetano Thiene, MDb, Cristina Basso, MD, PhDb,*

a Institute of Cardiovascular Surgery, University of Padua Medical School, Padua, Italy,
b Cardiology, University of Padua Medical School, Padua, Italy,
c Pathology, University of Padua Medical School, Padua, Italy

Received for publication March 3, 2004; accepted for publication March 22, 2004.

* Address for reprints: Cristina Basso, MD, PhD, Istituto di Anatomia Patologica, Via A. Gabelli, 61, 35121 Padova, Italy
cristina.basso@unipd.it

The first 20% of the full text of this article appears below.

Primary tumors are very rare, with the incidence in necroscopy series being between 0.0017% and 0.28%.1 Angiomas account for less than 5% of all these. Today, few reports discussing the clinical manifestation and pathologic appearance of cardiac angiomas have been published worldwide in the literature, and very few articles report surgical angioma excision.2

The angioma is a histologically benign tumor without infiltrative propensity, and it is mostly described in the subendocardial layers of the right atrium in adult female patients.

Although these are incidental findings in the majority of cases because they are asymptomatic, such tumors might be associated with a wide range of atypical and different symptoms that are related to the cardiac chambers involved or to the specific cardiac site of origin.

At gross examination, this tumor appears like a circumscribed mass in the subendocardial layer. Echocardiographic imaging techniques, either transthoracic or transesophageal, allow a differential diagnosis, whereas cardiac catheterization appears to be unnecessary. We report the case of a symptomatic patient undergoing successful surgical intervention for an interatrial septal angioma detected by means of 2-dimensional echocardiography.

Clinical summary

A 62-year-old woman with effort-induced dyspnea was referred to . . . [Full Text of this Article]




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Home page
 ESC Textbook of Cardiovascular MedicineHome page
G. Thiene, M. Valente, M. Lombardi, and C. Basso
CHAPTER 20 Tumours of the Heart
ESC Textbook of Cardiovascular Medicine, January 1, 2009; 2(1): med-9780199566990-chapter - med-9780199566990-chapter.
[Abstract] [Full Text] [PDF]


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