Document Detail

A case of pulmonary vein obstruction: evaluation using newer echocardiographic imaging techniques.
MedLine Citation:
PMID:  17683989     Owner:  NLM     Status:  MEDLINE    
A 59-year-old woman was admitted in our hospital due to persistent cough and dyspnea. Transthoracic 2-dimensional echocardiography demonstrated a cardiac mass (29 x 34 mm) that extended from the right upper pulmonary vein into the left atrium causing the partial obstruction of the right lower vein as indicated by the increased Doppler velocities. Contrast echocardiography confirmed the presence of microcirculation within the mass. During transesophageal (TEE) echocardiographic study, color Doppler imaging and power Doppler imaging (Angio((R)) Vivid 7, GE Medical System, Horten, Norway) demonstrated the presence of vascular flow within the mass. A chest magnetic resonance tomography showed a pulmonary mass of 30 x 25 x 28 mm infiltrating the pulmonary veins. After surgery, biopsy confirmed a high grade mucoepidermoid lung cancer with few large arterioles. The new echocardiographic techniques can reliably differentiate a cardiac tumor from a cardiac thrombus.
Ignatios Ikonomidis; Maria Nikolaou; Ioannis Paraskevaidis; John Lekakis; Dimitrios Th Kremastinos
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology     Volume:  9     ISSN:  1532-2114     ISO Abbreviation:  Eur J Echocardiogr     Publication Date:  2008 Jan 
Date Detail:
Created Date:  2008-02-12     Completed Date:  2009-03-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100890618     Medline TA:  Eur J Echocardiogr     Country:  England    
Other Details:
Languages:  eng     Pagination:  133-5     Citation Subset:  IM    
2nd Department of Cardiology, Athens University, Attikon Hospital, Perikleous Street 19, N. Chalkidona, Athens, 14343, Greece.
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MeSH Terms
Carcinoma, Mucoepidermoid / complications,  secondary,  surgery,  ultrasonography*
Heart Neoplasms / complications,  secondary,  surgery,  ultrasonography*
Lung Neoplasms / pathology*,  surgery
Middle Aged
Pulmonary Veins*
Venous Insufficiency / etiology,  surgery,  ultrasonography*

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