Prominent crista terminalis mimicking a right atrial mass: a systematic literature review and meta-analysis
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Le résumé fourni par la source
The crista terminalis is an anatomical structure localized on the posterolateral wall of the right atrium (RA). We performed a systematic review of the literature and meta-analysis concerning cases of unusual prominent crista terminalis mimicking RA mass. Moreover, we described the differential diagnosis of cardiac masses with the use of echocardiography, computed tomography, and cardiac magnetic resonance (CMR). We also emphasize the potential importance of this structure in electrophysiological procedures, including its role in exaggerated arrhythmias. Prominent crista terminalis may be a potential obstacle during invasive cardiac procedures or catheter ablation target. In analyzed cases, the crista terminalis was often erroneously interpreted as pathologic and at first confused with a thrombus or tumor during transthoracic echocardiography examination. The correct final diagnoses were mostly made with used transesophageal echocardiography or CMR. The most important imaging findings suggestive of prominent crista terminalis rather than tumor were a similar echogenicity/intensity with adjacent myocardium, the location on posterolateral wall of the RA, the phasic change in size, and no enhancement after contrast injection. We describe up to date and detailed imaging features for the differential diagnostics of selected intracardiac masses using various imaging techniques, including multimodality cardiac imaging. Familiarity with the anatomy and the imaging findings of the prominent crista terminalis will reduce misdiagnosis and avoid additional tests and unwarranted clinical interventions, while in patients considered for invasive cardiac procedures it might increase their efficacy and safety.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Prominent crista terminalis mimicking a right atrial mass: a systematic literature review and meta-analysis
- Date Crossref
- 15/04/2024
- Éditeur
- SAGE Publications
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Jagiellonian University Chair of Radiology pays non établi dans la noticeUniversité ou école supérieure
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John Paul II Hospital Department of Electrocardiology pays non établi dans la noticeÉtablissement de santé
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Institute of Cardiology pays non établi dans la noticeStructure de recherche
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Krakow Cardiovascular Research Institute pays non établi dans la noticeStructure de recherche
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The Ohio State University Wexner Medical Center Department of Cardiology pays non établi dans la noticeÉtablissement de santé
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University Hospital Department of Diagnostic Imaging pays non établi dans la noticeUniversité ou école supérieure
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Faculty of Medicine Department of Electrocardiology pays non établi dans la noticeUniversité ou école supérieure
Chair of Radiology — Jagiellonian University, Department of Electrocardiology — John Paul II Hospital et Institute of Cardiology, avec 4 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.