PMC2878699_01
Transthoracic echocardiography: short axis view showing large pericardial effusion with septations (PE: Pericardial effusion; SP: septations; LV: left ventricle; RV: right ventricle).
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fig1
After 10 days of antibiotic therapy, new echocardiography showed large loculated pericardial effusion with signs of diastolic restriction (Figure 1) and a 4.0 x 0.5 cm echogenic coronary sinus mass on the right atrium (Figure 2).
Transthoracic echocardiography: apical four-chamber view showing large pericardial effusion and mass in the right atrium at the coronary sinus (RA: right atrium; LV: left ventricle; RV: right ventricle; CS: coronary sinus; PE: Pericardial effusion; M: mass).
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fig2
After 10 days of antibiotic therapy, new echocardiography showed large loculated pericardial effusion with signs of diastolic restriction (Figure 1) and a 4.0 x 0.5 cm echogenic coronary sinus mass on the right atrium (Figure 2).
Right atriotomy showing the coronary sinus vegetation (RA: right atrium; CS: coronary sinus; M: mass).
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fig3
The vegetative growth adhered to the coronary sinus was excisioned (Figure 3).