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CTA coronary revealing the calcified right atrial mass and tip of the associated catheter (arrow).
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A CT angiogram of the chest revealed no evidence of atherosclerotic cardiovascular disease, but again demonstrated the mass (Fig. 1).
The mass in the patient's right atrium intraoperatively by echocardiography.
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Intraoperative transesophageal echocardiography confirmed the previously known details of the mass which appeared to be adherent to the catheter (Fig. 2).
The mass during and after resection with a ruler for size. A. The calcified mass after right atriotomy. B. The mass after resection. C. Detail of right atrial wall after resection. The blue portion of the catheter is the patient's right side. D. Resected right atrial mass with superior vena cava cannula, snare around inferior vena cava, cardiotomy suction, and white and blue port catheter exposed (arrow).
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The mass was found not to be attached to the tricuspid valve (Fig. 3). A frozen section biopsy of the mass however revealed no malignancy, so instead the mass was shaved off of the atrial attachment (Fig. 3), and the atriotomy was closed.