Huge Calcified Mass, Inside Heart or Outside?

  • Atooshe Rohani
Part of the Clinical Cases in Cardiology book series (CCC)


This is a challenging case of a mass described as an intra cardiac, but proved to be outside the heart by 3D TEE and subsequently by surgery.


Cardiac mass 3D TEE Multiple endocrine neoplasia type2 

Supplementary material

Movie 38.1

Intra or extra cardiac mass seen in TEE mid-esophageal 0 degree (AVI 7656 kb)

Movie 38.2

3-D TEE short axis view of the mitral valve, as seen from the left atrium (LA). In this “surgeon’s view” 3D TEE revealed an extracardiac mass (AVI 3302 kb)


  1. 1.
    Asch FM, Bieganski SP, Panza JA, Weissman NJ. Real-time 3-dimensional echocardiography evaluation of intracardiac masses. Echocardiography. 2006;23(3):218–24.CrossRefGoogle Scholar
  2. 2.
    Lokhandwala J, Zheng L, Jundi M, Loyd M, Strong M, Vannan M. Three-dimensional echocardiography of intracardiac masses. Echocardiography. 2004;21(2):159–63.CrossRefGoogle Scholar
  3. 3.
    Papadopoulos CH, Michalakeas CA, Paraskevaidis I, Ikonomidis I, Anastasiou-Nana M. Differential diagnosis of a left atrial mass: role of three-dimensional transoesophageal echocardiography. Hell J Cardiol. 2010;51(6):546–8.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Atooshe Rohani
    • 1
  1. 1.Northern Ontario School of MedicineThunder BayCanada

Personalised recommendations