When is a mass not a mass? An unusual presentation of prominent crista terminalis
Salim, Handi Palit, Amitabh Maher, Abdul
Salim, Handi
Palit, Amitabh
Maher, Abdul
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Affiliation
University Hospital Coventry and Warwickshire; George Eliot Hospital, Nuneaton
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Publication date
2016-02-15
Subject
Research Projects
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Abstract
This case report describes a patient in whom echocardiography showed borderline left ventricular hypertrophy and a mass adjacent to the right atrial wall. This naturally caused some concern as the differential diagnoses included that of a right atrial myxoma and further investigations were organised. A subsequent cardiac MRI revealed this thickening to be a prominent crista terminalis. The crista terminalis is a variant of normal anatomical structures within the right atrium, which mimics an atrial mass.
Citation
Salim H, Palit A, Maher A. When is a mass not a mass? An unusual presentation of prominent crista terminalis. BMJ Case Rep. 2016 Feb 15;2016:bcr2015211532. doi: 10.1136/bcr-2015-211532.
Type
Article