Giant Left Atrium

Paulo R. Schvartzman, Richard D. White
2001 Circulation  
A 69-year-old woman presented as an outpatient with shortness of breath. She was a former smoker and had a past medical history of rheumatic heart disease with mild mitral stenosis and moderate-to-severe mitral insufficiency associated with atrial fibrillation. A chest x-ray revealed near-complete opacification of the right mid-to-lower lung zones, with a shift of the mediastinal structures and heart leftward ( Figure 1) . A mass lesion was suspected. Computed tomography (CT) was performed
more » ... ut contrast (due to a prior allergic reaction); it demonstrated a large, 16ϫ16-cm right chest mass. Because of the size of the soft-tissue mass and the patient's smoking history, malignancy was suspected, and a CT-guided biopsy was performed. When sanguineous fluid spurted from Circulation is available at http://www.circulationaha.org Figure 1. Posteroanterior chest x-ray showing near-complete opacification of the right mid-to-lower lung zones, with a shift of the mediastinal structures and heart leftward. An underlying mass lesion could not be excluded. The remaining lung fields are without evidence of focal consolidation.
doi:10.1161/hc3101.093865 pmid:11489787 fatcat:ijfs5qaqpvfdpis33se2hpvlvq