Atrial masses on multidetector computed tomography

Mortensen, Kristian H.; Gopalan, Deepa; Balan, Anu

doi:10.1016/j.crad.2012.10.003

Cited by 7 publications

(6 citation statements)

References 35 publications

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“…Thrombi are by far the most common form of LA mass and are found predominantly in the LAA. Well-known factors precipitating thrombus formation include structural and functional cardiac abnormalities, artificial cardiac implants, and hypercoagulable states [ 77 ].…”

Section: Cardiac Computed Tomographymentioning

confidence: 99%

“…In unenhanced scans, myxomas have lower attenuation compared with surrounding blood, and their attenuation is usually heterogeneous. On contrast-enhanced scans, this tumour is usually a heterogeneously enhancing structure, with varying degrees of attenuation corresponding to areas of hemorrhage, necrosis, cyst formation, and calcification [ 77 ].…”

Section: Cardiac Computed Tomographymentioning

confidence: 99%

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The Role of Magnetic Resonance Imaging and Cardiac Computed Tomography in the Assessment of Left Atrial Anatomy, Size, and Function

Kuchynka

Podzimkova

Mašek

et al. 2015

BioMed Research International

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In the last decade, there has been increasing evidence that comprehensive evaluation of the left atrium is of utmost importance. Numerous studies have clearly demonstrated the prognostic value of left atrial volume for long-term outcome. Furthermore, advances in catheter ablation procedures used for the treatment of drug-refractory atrial fibrillation require the need for detailed knowledge of left atrial and pulmonary venous morphology as well of atrial wall characteristics. This review article discusses the role of cardiac magnetic resonance and computed tomography in assessment of left atrial size, its normal and abnormal morphology, and function. Special interest is paid to the utility of these rapidly involving noninvasive imaging methods before and after atrial fibrillation ablation.

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Section: Cardiac Computed Tomographymentioning

confidence: 99%

Section: Cardiac Computed Tomographymentioning

confidence: 99%

The Role of Magnetic Resonance Imaging and Cardiac Computed Tomography in the Assessment of Left Atrial Anatomy, Size, and Function

Kuchynka

Podzimkova

Mašek

et al. 2015

BioMed Research International

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“…Left ventricular thrombi are at increased probability in patients with coronary artery disease, left ventricular aneurysm t or wall motion abnormality, and thus early detection with subsequent treatment is crucial [1]. Thrombi typically do not enhance cardiac computed tomography angiography (CCTA) imaging, but chronic thrombi can show heterogeneous enhance with peripheral fibrous capsule enhancement, or they could calcify [1][2][3]. Compared to transesophageal echocardiography (TEE), CCTA is a non-invasive technique for detecting intracardiac thrombus with high diagnostic accuracy.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of intracardiac thrombi on cardiac computed tomography angiography: Outcome and impact on consequent management

Chaosuwannakit

Makarawate

2021

European Journal of Radiology Open

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Objective Intracardiac thrombi are intermittently come across on cardiac computed tomography angiography (CCTA). This study aimed to examine the prevalence, outcome, and prognosis in patients with incidental found left-sided cardiac thrombi on CCTA. Material and Methods The Ethics Committee approved the present study of the Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. A retrospective review of CCTA was performed for incidental left-sided cardiac thrombi. Results A total of 1080 CCTAs were enrolled with the prevalence of incidental left-sided cardiac thrombi is 4.53%. Of the 49 patients with CCTA incidental left-sided cardiac thrombi, 16 had left atrial thrombi, and 33 had left ventricular thrombi. All thrombi were undetermined before the CCTA, and their identification subsequently generated anticoagulation treatment. In 10 patients, embolic complications happened, 4 of which were fatal. Patients with incidental detected left-sided intracardiac thrombi seen by CCTA had more embolic event than patients who did not discover left-sided intracardiac thrombi by CCTA (HR = 8.07; 95% CI 1.48–44.06; p = 0.016). Conclusions Incidental left-sided cardiac thrombi on CCTA guided to management adjustments and seemed to present substantial mortality and morbidity in the present study. Physicians who interpret CCTA should ensure a dedicated effort not to disregard these prospective pitfalls.

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“…In sinus rhythm, left atrial appendage thrombi are usually associated with mitral valve disease or left atrial chamber and appendage dysfunction. The incidence of left atrial thrombi is significantly higher in patients with atrial fibrillation and mitral valve disease [86]. Right atrial thrombus is more likely to occur in the presence of central venous catheters.…”

Section: Introductionmentioning

confidence: 99%

“…Patients with prosthetic cardiac valves and pacemakers are also at increased risk. Intracardiac thrombi are complicated by arterial embolism in up to 20% of cases, and therefore early identification with subsequent therapy is important [86]. On CT imaging, thrombi typically do not enhance but chronic thrombi can appear heterogeneous with peripheral fibrous capsule formation or they may calcify [85].…”

Section: Introductionmentioning

confidence: 99%

Significant incidental cardiac disease on thoracic CT: what the general radiologist needs to know

Krueger¹,

Cronin

Sayyouh

et al. 2019

Insights Imaging

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ObjectiveIncidental cardiac findings are often found on chest CT studies, some of which may be clinically significant. The objective of this pictorial review is to illustrate and describe the appearances and management of the most frequently encountered significant cardiac findings on non-electrocardiographically gated thoracic CT. Most radiologists will interpret multidetector chest CT and should be aware of the imaging appearances, significance, and the appropriate next management steps, when incidental significant cardiac disease is encountered on thoracic CT.ConclusionThis article reviews significant incidental cardiac findings which may be encountered on chest CT studies. After completing this review, the reader should not only be familiar with recognizing clinically significant cardiac findings seen on thoracic CT examinations but also have the confidence to direct their further management.

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Atrial masses on multidetector computed tomography

Cited by 7 publications

References 35 publications

The Role of Magnetic Resonance Imaging and Cardiac Computed Tomography in the Assessment of Left Atrial Anatomy, Size, and Function

The Role of Magnetic Resonance Imaging and Cardiac Computed Tomography in the Assessment of Left Atrial Anatomy, Size, and Function

Prevalence of intracardiac thrombi on cardiac computed tomography angiography: Outcome and impact on consequent management

Significant incidental cardiac disease on thoracic CT: what the general radiologist needs to know

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