Images in Intensive Medicine
A rare echocardiographic imaging of a giant atrial mass
Ecocardiograma de una rara masa auricular gigante
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"apellidos" => "Varela" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572724000274?idApp=WMIE" "url" => "/21735727/unassign/S2173572724000274/v1_202402251056/en/main.assets" ] "en" => array:16 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>" "titulo" => "A rare echocardiographic imaging of a giant atrial mass" "tieneTextoCompleto" => true "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Pingping Dong, Jianneng Pan, Xiaoyang Zhou" "autores" => array:3 [ 0 => array:3 [ "nombre" => "Pingping" "apellidos" => "Dong" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "Jianneng" "apellidos" => "Pan" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:4 [ "nombre" => "Xiaoyang" "apellidos" => "Zhou" "email" => array:1 [ 0 => "zhouxiaoyang_1990@163.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Baihe Street Community Health Services of Yinzhou District, Ningbo, Zhejiang, China" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Department of Intensive Care Medicine, Ningbo No.2 Hospital, Ningbo, Zhejiang, China" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Ecocardiograma de una rara masa auricular gigante" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 815 "Ancho" => 3341 "Tamanyo" => 272300 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 61-year-old woman with a history of liver cirrhosis presented to the hospital with a one-week history of chest tightness and dizziness. Computed tomographic pulmonary angiography revealed a large-area filling defect in the right atrium (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a> Panel A). Transesophageal echocardiography was then performed and found a giant mass almost occupying the entire atrial cavity (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a> Panel B, Video <a class="elsevierStyleCrossRef" href="#sec0030">1</a>), and color Doppler showed a small amount of blood flow passed through the gap between the mass and the atrial wall (Video <a class="elsevierStyleCrossRef" href="#sec0030">2</a>). Subsequently, the patient underwent a thoracotomy and planned to receive a scheduled resection of the atrial mass. During thoracotomy, it was observed that the thymus, aortic wall, and pulmonary artery wall were extensively invaded. The patient's relatives finally refused to undergo further atrial mass resection given the expected high risk of perioperative death. Thymic pathology and immunohistochemical results indicated diffuse large B-cell lymphoma (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a> Panel C). Based on these findings, cardiac diffuse large B-cell lymphoma was highly suspected, which is a rare and life-threatening clinical condition.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Contribution of the authors</span><p id="par0010" class="elsevierStylePara elsevierViewall">Dong P drafted the manuscript and revised the manuscript. Pan J participated in the patient's care and drafted the manuscript. Zhou X participated in the patient's care and revised the manuscript. All authors read and approved the final manuscript.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Funding</span><p id="par0015" class="elsevierStylePara elsevierViewall">This work was supported by grants from the <span class="elsevierStyleGrantSponsor" id="gs0005">Zhejiang Medicine and Health Science and Technology Project</span> (No. <span class="elsevierStyleGrantNumber" refid="gs0005">2023KY1084</span>) and the <span class="elsevierStyleGrantSponsor" id="gs0010">Project of NINGBO Leading Medical & Health Discipline</span> (No. <span class="elsevierStyleGrantNumber" refid="gs0010">2022-F16</span>). The funders had no role in the study design, data collection, and analysis, decision to publish, or manuscript preparation.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflicts of interest</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors declare that they have no potential conflict of interest.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Consent for publication</span><p id="par0025" class="elsevierStylePara elsevierViewall">Written informed consent was obtained from the patient for publication of this article and any accompanying images.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:5 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Contribution of the authors" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Funding" ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Conflicts of interest" ] 3 => array:2 [ "identificador" => "sec0020" "titulo" => "Consent for publication" ] 4 => array:2 [ "identificador" => "xack782733" "titulo" => "Acknowledgments" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2024-08-19" "fechaAceptado" => "2024-08-27" "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "<p id="par0040" class="elsevierStylePara elsevierViewall">The following are Supplementary data to this article:<elsevierMultimedia ident="upi0005"></elsevierMultimedia><elsevierMultimedia ident="upi0010"></elsevierMultimedia></p>" "etiqueta" => "Appendix A" "titulo" => "Supplementary data" "identificador" => "sec0030" ] ] ] ] "multimedia" => array:3 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 815 "Ancho" => 3341 "Tamanyo" => 272300 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] ] 1 => array:5 [ "identificador" => "upi0005" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc1.mp4" "ficheroTamanyo" => 1513299 "Video" => array:2 [ "flv" => array:5 [ "fichero" => "mmc1.flv" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "mp4" => array:5 [ "fichero" => "mmc1.m4v" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] ] ] ] 2 => array:5 [ "identificador" => "upi0010" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc2.mp4" "ficheroTamanyo" => 761323 "Video" => array:2 [ "mp4" => array:5 [ "fichero" => "mmc2.m4v" "poster" => "mmc2.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "flv" => array:5 [ "fichero" => "mmc2.flv" "poster" => "mmc2.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] ] ] ] ] "agradecimientos" => array:1 [ 0 => array:4 [ "identificador" => "xack782733" "titulo" => "Acknowledgments" "texto" => "<p id="par0030" class="elsevierStylePara elsevierViewall">None.</p>" "vista" => "all" ] ] ] "idiomaDefecto" => "en" "url" => "/21735727/unassign/S2173572724002455/v1_202410210425/en/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/21735727/unassign/S2173572724002455/v1_202410210425/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572724002455?idApp=WMIE" ]
