Four Cases of Cystic Nature Adjacent to Right Atrial Wall by Two-Dimensional Echocardiography

Kyung Hwan Son; Moo Yuhl Lee; Won Ho Lee; Heung Sun Kang; Kwon Sam Kim; Chung Whee Choue; Myoung Sik Kim; Jeong Sang Song; Jong Hoa Bae

doi:10.3803/jkes.1994.2.2.215

Journal List > J Korean Soc Echocardiogr > v.2(2) > 1075174

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Son, Lee, Lee, Kang, Kim, Choue, Kim, Song, and Bae: Four Cases of Cystic Nature Adjacent to Right Atrial Wall by Two-Dimensional Echocardiography

Original Article

J Korean Soc Echocardiogr 1994;2(2):215-219.

Published online: 18 February 1994

DOI: https://doi.org/10.3803/jkes.1994.2.2.215

Four Cases of Cystic Nature Adjacent to Right Atrial Wall by Two-Dimensional Echocardiography

Kyung Hwan Son, M.D., Moo Yuhl Lee, M.D., Won Ho Lee, M.D., Heung Sun Kang, M.D., Kwon Sam Kim, M.D., Chung Whee Choue, M.D., Myoung Sik Kim, M.D., Jeong Sang Song, M.D., Jong Hoa Bae, M.D.

Department of Internal Medicine, Kyung Hee University, Seoul, Korea

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Two-dimensional echocardiography is a simple, noninvasive method of evaluating cardiac structures and pericardiac structures. The diagnosis of pericardial cyst is strongly suggested by the prominent roentgenographic appearance of a round, sharply demarcated mass along the right cardiac silhouette in an asymptomatic patient. Two-dimensional echocardiography is also useful method for diagnosing pericardial cyst, but differential diagnosis is difficult when other mass revealed echo-lucent cystic nature is located adjacent to the right atrial wall.

We report the similar two-dimensional echocardiographic findings located adjacent to the right atrial wall, which are diagnosed different disease entity each other.

We suggest that two-dimensional echocardiography helps diagnosis of mass adjacent to the right atrial wall and may need more extensive investigation for accurate differential diagnosis.

Keywords: Two-dimensional echocardiography, Cyst, Right atrium.

References

1). Popp RI, Fowles R, Coltart J, Martin RP. Cardiac anatomy viwed systemically with two-dimensional echocardiography. Chest. 75:579. 1979.

2). Cloez JL, Neimann JL, Chivoret G, Danchin N, Bruntz JF, Godenir JP, Faivre G. Echocardiographic rediscovery of an anatomical structure: The Chiari network. Apropos of 16 cases. Arch Mal Coeur. 76:1284. 1983.

3). Hynes JK, Tajik AJ, Osborn MJ, et al. Two-dimensional echocardiographic diagnosis of pericardial cyst. Mayo Clin Proc. 58:60. 1983.

4). De Roover P, Maisin J, Lacquet A. Congenital pleuropericardial cysts. Thorax. 18:146–150. 1963.

5). Unverferth DV, Wooley CF. The differential diagnosis of pericardiac lesions: pericardial cysts. Cathet Cardiovasc Diagn. 5:31–40. 1979.

6). Feigin DS, Fenoglio JJ, McAllister HA, Madewell JE. Pericardial cysts: a radiographic-pathologic correlation and review. Radiology. 125:15–20. 1977.

7). Kruger SR, Michaud J, Cannom DS. Spontaneous resolution of a pericardial cysts. Am Heart J. 109:1390. 1985.

8). Klatt EC, Yune HY. Diagnosis and treatment of pericardial cysts. Radiology. 104:541. 1972.

9). Felner JM, Fleming WH, Franch RH. Echocardiographic identification of a pericardial cyst. Chest. 68:386–387. 1975.

10). Pugatch RD, Braver JH, Robbins AH, Faling LJ. CT diagnosis of pericardial cysts. AJR. 131:515–516. 1978.

11). Modic MT, Janicki PC. Computed tomography of mass lesions of the right cardiophrenic angle. J Comput Assist Tomogr. 4:521–526. 1980.

12). Moncada R, Baker M, Salinas M, Demos TC, Churchill R, Love L, Reynes C, Hale D, Candoso M, Pifarre R, Gunnar RM. Diagnostic role of computed tomography in pericardial heart disease: cogenital defects, thickening, neoplasms, and effusions. Am Heart J. 103:263–282. 1982.

Fig. 1.

Chest PA: a smooth, homogenous mass(arrow) projected to the right of the mediastinum.

Fig. 2.

Echocardiographic finding(apical 4 chamber view): a round echo-free mass(arrow), contained band-like structure at the anterolateral site of the right atrium(RA).

Fig. 3.

Biopsy of pericardium: pericardial cyst lined by mesothelium(arrow)(H & E. ×40).

Fig. 4.

Chest PA: a smooth, sharply circumscribed homogenous mass(arrow) projected to the right of the mediastinum.

Fig. 5.

Echocardiographic finding(apical 4 chamber view): a round echo-free mass(arrow) at the anterolateral site of the right atrium(RA).

Fig. 6.

Biopsy of pleura: fibromatous form of mesothelioma(H & E, ×100).

Fig. 7.

Chest PA: a smooth, homogenous mass(arrow) projected to the right of the mediastinum.

Fig. 8.

Echocardiographic finding(apical 4 chamber view): a oval echo-free mass(arrow), contained echogenic mass at the anterolateral site of the right atrium(RA).

Fig. 9.

Biopsy of mediastinal mass: benign cystic teratoma contained sebaceous gland (arrow) and epithelium(arrow head)(H & E, ×100).

Fig. 10.

Chest PA: no evidence of mass.

Fig. 11.

Echocardiographic finding(apical 4 chamber view): a mass-like mirror image at the anterolateral site of the right atrium(RA).

TOOLS

Similar articles