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European Heart Journal 1988 9(2):172-176;
Copyright © 1988 by the European Society of Cardiology.
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© 1988 The European Society of Cardiology

Echocardiographic assessment of atrial tumour size and endogeneously generated contrast imagesAn experimental study

C. STEFANADIS, P. TOUTOUZAS, J. KALIKAZAROS and F. PATSOURAKOS

Division of Cardiology, Athens Medical School Athens, Greece

Received 16 April 1987; revised 20 July 1987; .

address for correspondence: C. Stefanadis, M D., Tepeleniou 9 str, Paleo Psychico, 154 52, Athens, Greece.

Abstract

Experimental models, in vitro and in vivo, were designed to simulate the motion of an atrioventricular valve leaflet and an atrial tumour. Cross-sectional echocardiography was used to investigate any changes in apparent tumour size related to its motion. Both parts of the study suggest that endogenous contrast, due to surfaces of different acoustic densities generated around the rapidly moving tumour, contributes to the echo-graphic pattern of the tumour. Thus, during diastole, the echo-mass cloud is greater than the real size of the tumour. The echocardiographic and actual size of the tumour may be identical only in ventricular systole when the blood flow around the atrial tumour is greatly decreased.

Key Words: Atrial tumor • endogeneous contrast • echocardiography


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