Atrial Metastasis of Renal Cell Carcinoma: A Rare Presentation.
Inferior vena cava; Metastasis; Renal cell carcinoma; Right atrial mass
Renal cell carcinoma (RCC) is an aggressive and lethal tumor that has a high frequency of metastatic spread to unpredictable sites. One quarter of patients have either distant metastases or significant local-regional disease with atypical symptoms on presentation. We present a 41-year-old patient with symptoms of right heart failure and was found to have metastatic renal cell carcinoma with enhancing tumor from left renal vein up to right atrium.
Shah Shilpi; Vinod Poornima; Khayata Mohamed; Lane Jason L; Hegde Vinayak; Raina Rupesh
Cardiology research
2018
2018-06
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.14740/cr690w" target="_blank" rel="noreferrer noopener">10.14740/cr690w</a>
TRADITIONAL M-MODE ASSESSMENT OF INFERIOR VENA CAVA COLLAPSIBILITY IS NOT RELIABLE - A ROLE FOR 3D IMAGING?
Measurements of IVC (1-2 cm from Cavoatrial junction) were obtained in 34 patients using 2D and M mode as well as 3D Echo. Using multiplanar reconstruction, true short axis views of the IVC were obtained at the level of IVC measurement in 2D and M mode. APD was measured in M mode and 3D, at baseline and during sniff maneuver.
Echo assessment of right atrial pressure (RAP), based on anteroposterior diameter (APD) of inferior vena cava (IVC) and IVC collapsibility with sniff maneuver, often does not corelate with clinical or invasive assessment of volume status. We hypothesize, translation of the plane of insonation during sniff maneuver could lead to overestimation or underestimation of IVC collapsibility by M mode. A 3D approach could evaluate IVC collapsibility better.
Gopalakrishnan P; Potakamuri L
Journal Of The American College Of Cardiology
2021
2021-05-03
Copyright © 2021 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.
Journal Article
<table width="91" style="border-collapse:collapse;width:68pt;"><colgroup><col width="91" style="width:68pt;" /></colgroup><tbody><tr style="height:15pt;"><td width="91" height="20" class="xl18" style="width:68pt;height:15pt;"><a href="http://doi.org/10.1016/S0735-1097(21)02753-4">http://doi.org/10.1016/S0735-1097(21)02753-4</a></td>
</tr></tbody></table>