PMC3337590_01
Transthoracic echocardiography: 4 chambers view showing a well-circumscribed mass in the let atrium.
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fig1
A transthoracic echocardiography was performed (Figure 1) and had showed a critical mitral stenosis, with a mitral valve area of 0,7 cm2 by planimetry and 1 cm2 by pressure half time.
Transesophageal echocardiography showing an important spontaneous contrast and a large mass (white arrow) in both left atrium and appendage (LA: left atrium; LV: left ventricle; L Ap: Left appendage).
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fig2
On transesophageal echocardiography (Figure 2), we found that the mass was located on a huge left atrial appendage and extended to the left atrium.
The transthoracic tomography showing a left atrium tissular mass in the left atrium.
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fig3
A transthoracic tomography was performed to identify the mass limits and connections (Figure 3).
Angiographic coronary showing the neovascularization and the fistula.
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fig4
There werenot coronary lesions but we discovered neovascularizations arising from a branch of the left circumflex artery (LCX) with fistula formation manifested by a dense mass stain and squiring of contrast material into the left atrial cavity (Figure 4).
Surgery findings: left atrial mass which seems to be friable and irregular.
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fig5
It measured 65 mm *30 mm (Figure 5).