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Prominent Crista Terminalis Mimicking as a Right Atrial Mass: Case Report

Year 2014, Volume: 16 Issue: 3, 34 - 43, 01.12.2014

Abstract

Crista terminalis (CT) is a normal anatomic formation in the right atrium (RA). Prominent CTcan vary greatly in adults, because it is a variation of septum spurium regression process. Thereis no enough study assessed by transthoracic echocardiography (TTE) on its frequency andfeature. When CT sometimes can be more prominent than usual, it may be confused with a RAmass. Computerized tomography, magnetic resonance imaging and three-dimensional TTE canbe used to distinguish a prominent CT from a real mass. However, detailed knowledge of theanatomy of RA is enough to make a correct diagnosis and to avoid unnecessary additional tests

References

  • McKay T, Thomas L. Prominent crista terminalis and Eustachian ridge in the right atrium: Two dimensional (2D) and three dimensional (3D) imaging. Eur J Echocardiogr 2007; 8:288–291.
  • D'Amato N, Pierfelice O, D'Agostino C. Crista terminalis bridge: a rare variant mimicking right atrialmass. Eur J Echocardiogr, 2009; 10:444–445.
  • Salustri A, Bakir S, Sana A, Lange P, Mahmeed VA. Prominent crista terminalis mimicking a right atrial mass: case report. Cardiovasc Ultrasound, 2010; 8:47.
  • Na JO, Kim EJ, Mun SJ, Choi EH, Mun JH, Lee HR, Kim YK, Yong HS. Prominent Crista Terminalis in Patients with Embolic Events. J Cardiovasc Ultrasound, 2011; 19(3):156– 158.
  • Edwards WD: Cardiac anatomy and examination of cardiac specimens. Allen HD, Gutgesell HP, Clark EB, Driscoll DJ (eds): In Heart disease in infants, children and adolescents. 6 edition. Philadelphia: Lippincott Williams and Wilkins, 2001; p: 89.
  • Pharr JR, West MB, Kusumoto FM, Figueredo VM. Prominent crista terminalis appearing as a right atrial mass on transthoracic echocardiogram. J Am Soc Echocardiogr, 2002; 15:753–755.
  • Resim 1: Transtorasik ekokardiyografide belirgin krista ter minalis görünümü. (Ok: Kitle görünümlü krista terminalis; RV: sağ ventrikül; LV: sol ventrikül; RA: sağ atrium; LA: sol atrium).

SAĞ ATRİYUM KİTLESİNİ TAKLİT EDEN BELİRGİN KRİSTA TERMİNALİS OLGUSU

Year 2014, Volume: 16 Issue: 3, 34 - 43, 01.12.2014

Abstract

Krista terminalis (KT) sağ atriumda yer alan normal bir anatomik oluşumdur. Belirgin KT,septum spurium’un regresyon sürecinin bir varyasyonu olduğu için yetişkinlerde büyükfarklılıklar gösterebilir. Transtorasik ekokardiyografide (TTE) sıklığı ve özelliği üzerine yapılmışyeteri kadar çalışma bulunmamaktadır. Krista terminalis bazen normalden daha fazla belirginolabilir. Bu durumda sağ atriyumda yer alan gerçek bir kitle ile karışabilir. Belirgin KT gerçekbir kitleden ayırmak için bilgisayarlı tomografi, manyetik rezonans, 3 boyutlu TTE vetransözofageal ekokardiyografi kullanılabilir. Bununla beraber sağ atriyum anatomisinin iyibilinmesi de, doğru tanı koymak ve gereksiz ek testleri önlemek için yeterlidir

References

  • McKay T, Thomas L. Prominent crista terminalis and Eustachian ridge in the right atrium: Two dimensional (2D) and three dimensional (3D) imaging. Eur J Echocardiogr 2007; 8:288–291.
  • D'Amato N, Pierfelice O, D'Agostino C. Crista terminalis bridge: a rare variant mimicking right atrialmass. Eur J Echocardiogr, 2009; 10:444–445.
  • Salustri A, Bakir S, Sana A, Lange P, Mahmeed VA. Prominent crista terminalis mimicking a right atrial mass: case report. Cardiovasc Ultrasound, 2010; 8:47.
  • Na JO, Kim EJ, Mun SJ, Choi EH, Mun JH, Lee HR, Kim YK, Yong HS. Prominent Crista Terminalis in Patients with Embolic Events. J Cardiovasc Ultrasound, 2011; 19(3):156– 158.
  • Edwards WD: Cardiac anatomy and examination of cardiac specimens. Allen HD, Gutgesell HP, Clark EB, Driscoll DJ (eds): In Heart disease in infants, children and adolescents. 6 edition. Philadelphia: Lippincott Williams and Wilkins, 2001; p: 89.
  • Pharr JR, West MB, Kusumoto FM, Figueredo VM. Prominent crista terminalis appearing as a right atrial mass on transthoracic echocardiogram. J Am Soc Echocardiogr, 2002; 15:753–755.
  • Resim 1: Transtorasik ekokardiyografide belirgin krista ter minalis görünümü. (Ok: Kitle görünümlü krista terminalis; RV: sağ ventrikül; LV: sol ventrikül; RA: sağ atrium; LA: sol atrium).
There are 7 citations in total.

Details

Primary Language Turkish
Journal Section Case Report
Authors

Aydın Akyüz This is me

Ramazan Uygur This is me

Şeref Alpsoy This is me

Dursun Çayan Akkoyun This is me

Veli Çağlar This is me

Publication Date December 1, 2014
Published in Issue Year 2014 Volume: 16 Issue: 3

Cite

APA Akyüz, A., Uygur, R., Alpsoy, Ş., Akkoyun, D. Ç., et al. (2014). SAĞ ATRİYUM KİTLESİNİ TAKLİT EDEN BELİRGİN KRİSTA TERMİNALİS OLGUSU. Duzce Medical Journal, 16(3), 34-43.
AMA Akyüz A, Uygur R, Alpsoy Ş, Akkoyun DÇ, Çağlar V. SAĞ ATRİYUM KİTLESİNİ TAKLİT EDEN BELİRGİN KRİSTA TERMİNALİS OLGUSU. Duzce Med J. December 2014;16(3):34-43.
Chicago Akyüz, Aydın, Ramazan Uygur, Şeref Alpsoy, Dursun Çayan Akkoyun, and Veli Çağlar. “SAĞ ATRİYUM KİTLESİNİ TAKLİT EDEN BELİRGİN KRİSTA TERMİNALİS OLGUSU”. Duzce Medical Journal 16, no. 3 (December 2014): 34-43.
EndNote Akyüz A, Uygur R, Alpsoy Ş, Akkoyun DÇ, Çağlar V (December 1, 2014) SAĞ ATRİYUM KİTLESİNİ TAKLİT EDEN BELİRGİN KRİSTA TERMİNALİS OLGUSU. Duzce Medical Journal 16 3 34–43.
IEEE A. Akyüz, R. Uygur, Ş. Alpsoy, D. Ç. Akkoyun, and V. Çağlar, “SAĞ ATRİYUM KİTLESİNİ TAKLİT EDEN BELİRGİN KRİSTA TERMİNALİS OLGUSU”, Duzce Med J, vol. 16, no. 3, pp. 34–43, 2014.
ISNAD Akyüz, Aydın et al. “SAĞ ATRİYUM KİTLESİNİ TAKLİT EDEN BELİRGİN KRİSTA TERMİNALİS OLGUSU”. Duzce Medical Journal 16/3 (December 2014), 34-43.
JAMA Akyüz A, Uygur R, Alpsoy Ş, Akkoyun DÇ, Çağlar V. SAĞ ATRİYUM KİTLESİNİ TAKLİT EDEN BELİRGİN KRİSTA TERMİNALİS OLGUSU. Duzce Med J. 2014;16:34–43.
MLA Akyüz, Aydın et al. “SAĞ ATRİYUM KİTLESİNİ TAKLİT EDEN BELİRGİN KRİSTA TERMİNALİS OLGUSU”. Duzce Medical Journal, vol. 16, no. 3, 2014, pp. 34-43.
Vancouver Akyüz A, Uygur R, Alpsoy Ş, Akkoyun DÇ, Çağlar V. SAĞ ATRİYUM KİTLESİNİ TAKLİT EDEN BELİRGİN KRİSTA TERMİNALİS OLGUSU. Duzce Med J. 2014;16(3):34-43.