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Prominent crista terminalis mimicking a right atrial mass: case report. | LitMetric

AI Article Synopsis

  • * A case report highlighted how echocardiography misidentified a right atrial mass in a patient with end-stage renal disease, which was later confirmed to be a muscular bridge, not a mass.
  • * Recognizing the anatomy and appearance of the crista terminalis can prevent misdiagnosis and help avoid unnecessary, costly tests.

Article Abstract

The crista terminalis is a normal anatomical structure within the right atrium that is not normally visualised in the standard views obtained while performing a transthoracic echocardiogram. In this case report, transthoracic echocardiography suggested the presence of a right atrial mass in a patient with end stage renal disease. However, subsequent transesophageal echocardiography revealed that the right atrial mass was actually a thick muscular bridge in the right atrium consistent with a prominent crista terminalis. An understanding of the anatomy and the echocardiographic appearance of a prominent crista terminalis will minimize the misdiagnosis of this structure avoiding unnecessary expensive additional tests.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2984405PMC
http://dx.doi.org/10.1186/1476-7120-8-47DOI Listing

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