Comparison of transthoracic and transesophageal echocardiography in the diagnosis of intracardiac tumors in adults
โ Scribed by Kou-Gi Shyu; Jin-Jer Chen; Jun-Jack Cheng; Juey-Jen Hwang; Peiliang Kuan; Wen-Pin Lien
- Book ID
- 102888698
- Publisher
- John Wiley and Sons
- Year
- 1994
- Tongue
- English
- Weight
- 826 KB
- Volume
- 22
- Category
- Article
- ISSN
- 0091-2751
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โฆ Synopsis
To compare transthoracic and transesophageal echocardiography in the diagnosis of intracardiac tumors, 17 patients (8 men and 9 women, aged 19 years to 67 years) whose intracardiac tumors were detected by echocardiography were studied in a 4-year period. Of these, 14 patients underwent cardiac surgery and 13 were proved to have tumors. There were 4 false-positive and 2 false-negative diagnoses by transthoracic echocardiography, but only one false-positive and no false-negative diagnosis by transesophageal echocardiography. The stalk of a myxoma was detected clearly in 5 of 11 patients by transthoracic echocardiography, whereas in 10 of 11 it was detected by transesophageal echocardiography. The detailed morphologic characteristics of the tumor, such as contour of the tumor, and the presence of cysts and calcification in the tumor, were seen more clearly with transesophageal echocardiography than with transthoracic echocardiography.
๐ SIMILAR VOLUMES
This is an unusual case of a 37-year-old male whose initial presentation to medical care was for dyspnea. A transthoracic echocardiogram was suspicious for cor triatriatum, which was confirmed by transesophageal echocardiography. Since the resting transmembrane gradient was low, a cardiac catheteriz