Welkom bij THIM Hogeschool voor Fysiotherapie & Bohn Stafleu van Loghum
THIM Hogeschool voor Fysiotherapie heeft ervoor gezorgd dat je Mijn BSL eenvoudig en snel kunt raadplegen. Je kunt je links eenvoudig registreren. Met deze gegevens kun je thuis, of waar ook ter wereld toegang krijgen tot Mijn BSL. Heb je een vraag, neem dan contact op met helpdesk@thim.nl.
Om ook buiten de locaties van THIM, thuis bijvoorbeeld, van Mijn BSL gebruik te kunnen maken, moet je jezelf eenmalig registreren. Dit kan alleen vanaf een computer op een van de locaties van THIM.
Eenmaal geregistreerd kun je thuis of waar ook ter wereld onbeperkt toegang krijgen tot Mijn BSL.
Login
Als u al geregistreerd bent, hoeft u alleen maar in te loggen om onbeperkt toegang te krijgen tot Mijn BSL.
Video 1 Transoesophageal echocardiogram showing mass (size: 6.2 × 4.4 cm) that fills large part of left atrial volume, with irregular contour and heterogeneous echogenicity. This mass originated from left superior pulmonary vein and was suggestive of malignancy
Video 2 Transoesophageal echocardiogram showing left atrial mass that causes restrictive transmitral flow with transmitral maximal/mean gradients of 14/7 mm Hg, which indicated functional mitral stenosis
Video 3 Cardiac computed tomography angiogram with retrospective gating and multiphasic reconstruction in axial plane showing vascularised, low-density tumour mass (size: 6.5 × 4.3 cm; 60–70 HU) that occupies three-quarters of left atrial volume. This mass expanded to left atrial appendage
Video 4 Colour cardiac computed tomography angiogram with retrospective gating and multiphasic reconstruction showing vascularised mass in left atrium, with reduced mobility and heterogeneous contrast enhancement. No invasion of valves, left ventricle, right chambers, coronary arteries or aorta
Video 5 Colour cardiac computed tomography angiogram with retrospective gating and multiphasic reconstruction showing left atrial mass entering heart from left upper pulmonary vein, with associated left superior pulmonary vein thrombosis
Opmerkingen
Video online
The online version of this article contains 5 videos. The article and the videos are online available (https://doi.org/10.1007/s12471-023-01775-2). The videos can be found in the article back matter as “Electronic Supplementary Material”.
A 67-year-old woman was referred to our centre because of an intracardiac mass. Her medical history included a retroperitoneal tumour (2015), lung metastases (2020) and bilateral breast implantation. Transthoracic echocardiography had a poor acoustic window due to the breast implants. Transoesophageal echocardiography showed a mass in the left atrium (6.2 × 4.4 cm) that occluded most of the atrium, had an uneven shape and showed heterogeneous echogenicity. Due to its size, the mass, which seemed to derive from the left pulmonary vein, restricted transmitral flow; mean transmitral gradient was 7 mm Hg (Fig. 1a, b, and see Videos 1 and 2 in Electronic Supplementary Material). Cardiac computed tomography (CT) angiography showed a vascularised cardiac mass with reduced mobility and uneven contrast enhancement; there was no cardiac infiltration. CT showed the tumour entered the heart from the left upper pulmonary vein and revealed left superior pulmonary vein thrombosis (Fig. 1c, d, and see Videos 3–5 in Electronic Supplementary Material); lung window study indicated several lung metastases (Fig. 1e). Transthoracic biopsy of one metastasis and subsequent pathological examination revealed a solitary fibrous tumour (Fig. 1f). Despite chemotherapy, the patient died. This report is an example of a slow-growing, solitary fibrous tumour turning malignant [1, 2].
Fig. 1
Assessment of solitary fibrous tumour. a, b Transoesophageal echocardiograms. c, d Cardiac computed tomography (CT) scan showing vascularised cardiac mass in left atrium, with reduced mobility and heterogeneous contrast enhancement. This mass entered the heart from the left upper pulmonary vein; left superior pulmonary vein thrombosis was also seen on CT. e CT scan with lung window showing multiple pulmonary nodules in both pulmonary camps. f Pathological examination with haematoxylin & eosin (HE), STAT6 nuclear and CD34 cytoplasmic stainings showing nuclear atypia of fusiform cells
×
Conflict of interest
G.N. F. Costa, F. Franco and R.P. C. Teixeira declare that they have no competing interests.
Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
Het Netherlands Heart Journal wordt uitgegeven in samenwerking met de Nederlandse Vereniging voor Cardiologie. Het tijdschrift is Engelstalig en wordt gratis beschikbaa ...
Video 1 Transoesophageal echocardiogram showing mass (size: 6.2 × 4.4 cm) that fills large part of left atrial volume, with irregular contour and heterogeneous echogenicity. This mass originated from left superior pulmonary vein and was suggestive of malignancy
Video 2 Transoesophageal echocardiogram showing left atrial mass that causes restrictive transmitral flow with transmitral maximal/mean gradients of 14/7 mm Hg, which indicated functional mitral stenosis
Video 3 Cardiac computed tomography angiogram with retrospective gating and multiphasic reconstruction in axial plane showing vascularised, low-density tumour mass (size: 6.5 × 4.3 cm; 60–70 HU) that occupies three-quarters of left atrial volume. This mass expanded to left atrial appendage
Video 4 Colour cardiac computed tomography angiogram with retrospective gating and multiphasic reconstruction showing vascularised mass in left atrium, with reduced mobility and heterogeneous contrast enhancement. No invasion of valves, left ventricle, right chambers, coronary arteries or aorta
Video 5 Colour cardiac computed tomography angiogram with retrospective gating and multiphasic reconstruction showing left atrial mass entering heart from left upper pulmonary vein, with associated left superior pulmonary vein thrombosis
