RT Journal
A1 Kaplan K, Talano JV
T1 RIght ventricular mass and pulmonary infiltrates with a small ventricular septal defect
JF Archives of Internal Medicine
JO Archives of Internal Medicine
YR 1979
FD September 1
VO 139
IS 9
SP 1035
OP 1037
DO 10.1001/archinte.1979.03630460067020
UL http://dx.doi.org/10.1001/archinte.1979.03630460067020
AB A 28-year-old man with a known cardiac murmur since birth complained of a two-month history of cough, fever, and malaise. On physical examination the patient was febrile, and a pansystolic murmur and thrill were present in the fourth left intercostal space. The second heart sound was normal.Below is a M-mode echocardiogram (Fig 1) taken at the level of the tricuspid valve where an echo-dense mass (X) is seen. The anterior (atl) and posterior (ptl) tricuspid leaflets are identified. What is your diagnosis?The M-mode echocardiogram was obtained by angling the transducer medially from the standard position of the mitral valve. Portions of the tricuspid valve leaflets are seen with dense echoes in the vicinity of the valve. Angulation of the transducer downward from the mass shows normal movement of the tricuspid leaflet (last two complexes) indicating that the mass is probably not attached to the tricuspid valve leaflets. Due