Korean Circ J.  2015 Mar;45(2):165-168. 10.4070/kcj.2015.45.2.165.

Intracardiac Echocardiography to Guide Biopsy for Two Cases of Intracardiac Masses

Affiliations
  • 1Division of Cardiology, Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Korea. myheart@cnu.ac.kr

Abstract

Pathologic diagnosis of a cardiac mass is vital in determining the proper treatment modality. Open heart surgery or transesophageal echocardiography guided biopsy can be feasible methods to confirm the pathology. However, the former is highly invasive and both methods require general anesthesia. The introduction of intracardiac echocardiography (ICE) can provide good anatomic information of heart and does not require general anesthesia. In this report, we present two cases of cardiac tumors which were confirmed by percutaneous biopsy under the guidance of an ICE. The patients underwent cardiac biopsy without any complications.

Keyword

Cardiac tumor; Echocardiography; Biopsy

MeSH Terms

Anesthesia, General
Biopsy*
Diagnosis
Echocardiography*
Echocardiography, Transesophageal
Heart
Heart Neoplasms
Humans
Ice
Pathology
Thoracic Surgery
Ice

Figure

  • Fig. 1 A: transthoracic echocardiography shows diffuse thickening of posterior aspect of the right atrial wall (arrows) with large amount of pericardial effusion. B: computed tomography of the chest reveals a mass lesion along the superior and posterior right atrial wall without enhancement (arrows). C: the intracardiac echocardiographic catheter (arrows) and biopsy catheter (arrowheads) are clearly shown with fluoroscopic findings. D: the intracardiac echocardiography demonstrates thickened mass of the right atrium and well-targeted biopsy catheter (arrowheads) on the mass. RA: right atrium, RV: right ventricle, LA: left atrium.

  • Fig. 2 A: transthoracic echocardiography shows a huge mass lesion infiltrating interatrial septum and obliterating right pulmonary veins (arrows). B: the computerized tomography of the chest demonstrates a round mass in the atria extending into the lung and posterior mediastinum (arrows). C: the fluoroscopic finding reveals a biopsy catheter (arrows) and an intracardiac echocardiography catheter (arrowheads) placed in the right atrium. D: the intracardiac echocardiography shows a round mass in the right atrium (arrows) and well-placed biopsy catheter (arrowheads). RA: right atrium, RV: right ventricle, LA: left atrium, LV: left ventricles.


Reference

1. Reynen K. Frequency of primary tumors of the heart. Am J Cardiol. 1996; 77:107.
2. Troccoli R, Lotti G. [Frequency of Primary and Secondary Tumors of the Heart. (Drawn from Statistical Findings Collected in the Institute of Pathologic Anatomy and Histology of the University of Rome for the 10 Year Period 1953-1962)]. Ann Sanita Pubblica. 1964; 25:1467–1473.
3. Lam KY, Dickens P, Chan AC. Tumors of the heart. A 20-year experience with a review of 12,485 consecutive autopsies. Arch Pathol Lab Med. 1993; 117:1027–1031.
4. Abramowitz Y, Hiller N, Perlman G, et al. The diagnosis of primary cardiac lymphoma by right heart catheterization and biopsy using fluoroscopic and transthoracic echocardiographic guidance. Int J Cardiol. 2007; 118:e39–e40.
5. Scholte AJ, Frissen PH, van der Wouw PA. Transesophageal echocardiography-guided transvenous biopsy of an intracardiac tumor. Echocardiography. 2004; 21:721–723.
6. Leibowitz G, Keller NM, Daniel WG, et al. Transesophageal versus transthoracic echocardiography in the evaluation of right atrial tumors. Am Heart J. 1995; 130:1224–1227.
7. Hijazi ZM, Shivkumar K, Sahn DJ. Intracardiac echocardiography during interventional and electrophysiological cardiac catheterization. Circulation. 2009; 119:587–596.
8. Awad SM, Cao QL, Hijazi ZM. Intracardiac echocardiography for the guidance of percutaneous procedures. Curr Cardiol Rep. 2009; 11:210–215.
9. Poommipanit P, Tobis J. Intracardiac echocardiography (ICE)--guided biopsy of a right atrial mass. J Invasive Cardiol. 2011; 23:E99–E101.
10. Mitchell AR, Timperley J, Hudsmith L, Neubauer S, Bashir Y. Intracardiac echocardiography to guide myocardial biopsy of a primary cardiac tumour. Eur J Echocardiogr. 2007; 8:505–506.
11. Sze DY, Lee DP, Hofmann LV, Petersen B. Biopsy of cardiac masses using a stabilized intracardiac echocardiography-guided system. J Vasc Interv Radiol. 2008; 19:1662–1667.
Full Text Links
  • KCJ
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr