Transesophageal Echocardiography Evaluation of a Mass in the Right Ventricle

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Abstract

Myxomas are rarely located in the right ventricle (RV). They may cause tricuspid valve (TV) destruction or RV outflow tract obstruction. Transesophageal echocardiography (TEE) is useful in delineating the mass, its hemodynamic effect, and the ventricular and valvular function post mass excision. Three dimensional echocardiography is complimentary to two dimensional echocardiography for better evaluation of the mass, including the site of attachment and its extent. In addition, TEE provides relevant information regarding TV and RV function and guides the perioperative management. We report a case of RV myxoma in which TEE was fundamental in managing the case.

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