Circulation, Vol 67, 459-462, Copyright © 1983 by American Heart Association
EC Wright, HA Wellons and RP Martin
A 21-year-old white male was evaluated in our echocardiographic laboratory
for presumed mitral valvular bacterial endocarditis. Electrocardiographic,
physical, and initial two-dimensional echocardiographic findings suggested
a left-to-right shunt at the atrial septal level. However, injection of
contrast saline solution failed to demonstrate signs of an atrial septal
defect. Continuation of the echocardiographic study led to the diagnosis of
an unsuspected primary sarcoma of the pulmonary trunk, which was rapidly
confirmed by computerized axial tomography. Therapeutic interventions were
undertaken. This case highlights the usefulness of two-dimensional
echocardiography.
ARTICLES
Primary pulmonary artery sarcoma diagnosed noninvasively by two- dimensional echocardiography
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