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Prominent crista terminalis mimicking a right atrial mass: case report

Lange Peter, Sana Amer, Bakir Sherif and 2 more

Cardiovascular Ultrasound · 2010

doi:10.1186/1476-7120-8-47 (opens in a new tab)

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Abstract

<p>Abstract</p> <p>The crista terminalis is a normal anatomical structure within the right atrium that is not normally visualised in the standard views obtained while performing a transthoracic echocardiogram. In this case report, transthoracic echocardiography suggested the presence of a right atrial mass in a patient with end stage renal disease. However, subsequent transesophageal echocardiography revealed that the right atrial mass was actually a thick muscular bridge in the right atrium consistent with a prominent crista terminalis. An understanding of the anatomy and the echocardiographic appearance of a prominent crista terminalis will minimize the misdiagnosis of this structure avoiding unnecessary expensive additional tests.</p>

Abstract licence: CC BY-NC-ND

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