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European Heart Journal 1992 13(11):1585-1588;
Copyright © 1992 by the European Society of Cardiology.
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© 1992 The European Society of Cardiology

Bilocular atrial malignant mesenchymoma causing mitral and localized pulmonary vein flow obstruction: diagnosis by transoesophageal echocardiography

P. PETERS*,, F. A. FLACHSKAMPF{dagger}, St. HAUPTMANN{ddagger}, H.-B. LO§ and C.-J. SCHUSTER*

*Medical Clinic St. Antonius Hospital Eschweiler
{dagger}Medical Clinic I RWTH Aachen
{ddagger}Department of Pathology RWTH Aachen
§Department of Thoracic and Cardiovascular Surgery RWTH Aachen, Germany

Received 29 July 1991; revised 13 May 1992; .

Correspondence: Dr P. Peters, Medical Clinic II, University of Cologne Hospital, Merheim, Ostmerheimer Str. 200, D 5000 Cologne 91, Germany

Abstract

Cardiac malignant mesenchymoma is an extremely rare malignancy with poor prognosis. We report a patient presenting with a history and clinical findings typical of mitral stenosis. Transthoracic echocardiography showed a mass on the thickened posterior mitral leaflet. Transoesophageal echocardiography revealed two tumoural masses: one on the atrial side of the posterior mitral leaflet causing mitral obstruction, the other arising in the region of the right lower pulmonary vein orifice and obstructing inflow through this vein.

Key Words: Cardiac tumour • transoesophageal echocardiography • malignant mesenchymoma • pulmonary vein flow obstruction


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