All that Doesn't Enhance Isn't a Thrombus: Pitfalls Using Cardiac MRI TI 600 Sequence to Distinguish Between Cardiac Thrombus Versus Myxoma

All that Doesn't Enhance Isn't a Thrombus: Pitfalls Using Cardiac MRI TI 600 Sequence to Distinguish Between Cardiac Thrombus Versus Myxoma

A 51-year-old male with a complicated medical history presented with shortness of breath. Preoperative workup confirmed the presence of a large atrial mass. However, delayed gadolinium enhancement CMR with long inversion time (TI 600) showed lack of enhancement, which was suggestive of a thrombus. D...

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Veröffentlicht in:Methodist DeBakey cardiovascular journal 2024, Vol.20 (1), p.23-25
Hauptverfasser: Rana, Aakash D, Vallurupalli, Srikanth, Mitchell, Mark, Duncan, David, Xu, Jack
Format: Artikel
Sprache:eng
Schlagworte:
Contrast Media
Gadolinium
Heart Atria - diagnostic imaging
Heart Atria - surgery
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Myxoma - complications
Myxoma - diagnostic imaging
Myxoma - surgery
Thrombosis - diagnostic imaging
Thrombosis - surgery
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Zusammenfassung:A 51-year-old male with a complicated medical history presented with shortness of breath. Preoperative workup confirmed the presence of a large atrial mass. However, delayed gadolinium enhancement CMR with long inversion time (TI 600) showed lack of enhancement, which was suggestive of a thrombus. During cardiac magnetic resonance imaging, delayed gadolinium enhancement sequences with long inversion time (TI 600) are commonly used to distinguish between an avascular thrombus versus a vascular tumor.
ISSN:1947-6108
1947-6108
DOI:10.14797/mdcvj.1322