Incremental Value of Contrast Echocardiography in the Diagnosis of Atrial Myxoma (pages E46–E49)
Pawan Hari, Tamam Mohamad, Ashok Kondur, Salik M. Jahania and Luis Afonso
Article first published online: 30 MAR 2010 | DOI: 10.1111/j.1540-8175.2009.01128.x
Intracardiac myxomas have traditionally been divided into solid ovoid and soft papillary subtypes based on morphological appearance. Papillary myxomas given their friable nature are far more likely to cause embolic phenomenon and present with neurological symptoms, making it necessary to discriminate between these tumor sub types. Papillary myxomas have also been demonstrated to be significantly less vascular than their ovoid counterparts in previous angiographic studies. We describe here for the first time, application of transesophageal real time myocardial perfusion imaging in a case of papillary myxoma in order to assess tumor vascularity.